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RENEWED LIFE LLC
NPI 1629816269
Counselor - Addiction (Substance Use Disorder) in Russellville, AR

Active since July 17, 2024
115 W H ST STE 151, RUSSELLVILLE, AR 72801(479) 970-6454 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 14, 2025, Jul 17, 2024 (2 updates tracked since 2024).

About Renewed Life Llc NPPES

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

RENEWED LIFE LLC (NPI 1629816269) is a healthcare organization registered as an addiction (substance use disorder) in Russellville, Arkansas and active in the NPI registry since July 2024. The organization lists Linda Jo Bankston, Owner, as its authorized official.

NPPES Registry Identity

NPI1629816269
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameRENEWED LIFE LLC
Location Address115 W H ST STE 151Russellville, AR 72801-3426
Mailing Address115 W H St Ste 151Russellville, AR 72801-3426 · (479) 970-6454
Phone(479) 970-6454
Organization SubpartNo
Authorized OfficialLinda Jo BankstonOwner · (479) 970-6454
Enumeration DateJuly 17, 2024
Last NPPES UpdateAugust 14, 20252 updates tracked since enumeration
NPPES CertifiedAugust 14, 2025
✔ NPI 1629816269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
115 W H ST STE 151, Russellville, AR 72801
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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 Renewed Life LLC's NPI number?

The NPI number for Renewed Life LLC is 1629816269. It was assigned to this organization in the NPPES registry on July 17, 2024.

Where is Renewed Life LLC located?

Renewed Life LLC is located at 115 W H St Ste 151, Russellville, AR 72801. The listed phone number is (479) 970-6454.

What is Renewed Life LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Renewed Life LLC was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.