RENEW MENTAL HEALTH AND WELLNESS LLC
NPI 1447817572
Nurse Practitioner - Psychiatric/Mental Health in Jonesboro, AR

Q: What is Renew Mental Health And Wellness LLC's NPI number?

The NPI number for Renew Mental Health And Wellness LLC is 1447817572. It was assigned to this organization in the NPPES registry on May 23, 2019.

Q: What is Renew Mental Health And Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since May 23, 2019CLIA 04D2281603 · Accreditation

1150 E MATTHEWS AVE STE 101A, JONESBORO, AR 72401(870) 243-0424(534) 248-4225 Get Directions Write a Review

NPPES record last updated: September 28, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Feb 12, 2020, May 23, 2019 (2 updates tracked since 2019).

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About Renew Mental Health And Wellness Llc NPPES

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

RENEW MENTAL HEALTH AND WELLNESS LLC (NPI 1447817572) is a healthcare organization registered as a psychiatric/mental health in Jonesboro, Arkansas and active in the NPI registry since May 2019. The organization holds an CLIA Accreditation certificate valid through April 1, 2028 and lists Stacey Lynch, Owner, as its authorized official.

NPPES Registry Identity

NPI1447817572

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameRENEW MENTAL HEALTH AND WELLNESS LLC

Location Address1150 E MATTHEWS AVE STE 101AJonesboro, AR 72401-4356

Mailing Address1150 E Matthews Ave Ste 101aJonesboro, AR 72401-4356 · (870) 243-0424 · Fax (534) 248-4225

Phone(870) 243-0424

Fax(534) 248-4225

Organization SubpartNo

Authorized OfficialStacey LynchOwner · (870) 243-0424

Enumeration DateMay 23, 2019

Last NPPES UpdateSeptember 28, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 28, 2023

✔ NPI 1447817572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

1150 E MATTHEWS AVE STE 101A, Jonesboro, AR 72401

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 04D2281603

Renew Mental Health And Wellness · Jonesboro, AR

Active · expires Apr 1, 2028

CLIA Number04D2281603

Laboratory TypePhysician Office

Certificate Effective DateApril 2, 2026

Certificate Expiration DateApril 1, 2028

Laboratory DirectorDr. Gregory L. Lynch

Laboratory Phone(870) 243-0424

Laboratory LocationRenew Mental Health And Wellness1150 E Matthews Ave Suite 1A, Jonesboro, AR 72401

CLIA data matches this NPI record on: Name Phone

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRITTANY LANE REYNOLDS MSN, APRN, FNP-C

Nurse Practitioner (Family)