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REVIVED AND RENEWED MENTAL HEALTH, LLC
NPI 1376151969
Clinic/Center - Adult Mental Health in Lafayette, LA

Active since July 20, 2020
4400 AMBASSADOR CAFFERY PKWY STE A167, LAFAYETTE, LA 70508(337) 450-0406 Get Directions Write a Review

NPPES record last updated: July 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Revived And Renewed Mental Health, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REVIVED AND RENEWED MENTAL HEALTH, LLC (NPI 1376151969) is a healthcare organization registered as an adult mental health in Lafayette, Louisiana and active in the NPI registry since July 2020. The organization lists Brandy M Skidmore, Lcsw/owner, as its authorized official.

NPPES Registry Identity

NPI1376151969
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameREVIVED AND RENEWED MENTAL HEALTH, LLC
Location Address4400 AMBASSADOR CAFFERY PKWY STE A167Lafayette, LA 70508-6760
Mailing Address4400 Ambassador Caffery Pkwy Ste A167Lafayette, LA 70508-6760 · (337) 450-0406
Phone(337) 450-0406
Organization SubpartNo
Authorized OfficialBrandy M SkidmoreLcsw/owner · (337) 450-0406
Enumeration DateJuly 20, 2020
NPPES CertifiedJuly 20, 2020
✔ NPI 1376151969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
4400 AMBASSADOR CAFFERY PKWY STE A167, Lafayette, LA 70508
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Revived And Renewed Mental Health, LLC's NPI number?

The NPI number for Revived And Renewed Mental Health, LLC is 1376151969. It was assigned to this organization in the NPPES registry on July 20, 2020.

Where is Revived And Renewed Mental Health, LLC located?

Revived And Renewed Mental Health, LLC is located at 4400 Ambassador Caffery Pkwy Ste A167, Lafayette, LA 70508. The listed phone number is (337) 450-0406.

What is Revived And Renewed Mental Health, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Revived And Renewed Mental Health, LLC was last updated on July 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.