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RENEWED LIFE COUNSELING SERVICES
NPI 1811452188
Substance Abuse Rehabilitation Facility in Coon Rapids, MN

Active since January 31, 2019
10026 UNIVERSITY AVE NW STE 103, COON RAPIDS, MN 55448(612) 636-9677 Get Directions Write a Review

NPPES record last updated: January 31, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Renewed Life Counseling Services NPPES

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

RENEWED LIFE COUNSELING SERVICES (NPI 1811452188) is a healthcare organization registered as a substance abuse rehabilitation facility in Coon Rapids, Minnesota and active in the NPI registry since January 2019. The organization lists Nikisha Lynnette Simmons-maclin, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1811452188
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameRENEWED LIFE COUNSELING, LLC
Location Address10026 UNIVERSITY AVE NW STE 103Coon Rapids, MN 55448-2213
Mailing Address10026 University Ave Nw Ste 103Coon Rapids, MN 55448-2213 · (612) 636-9677
Phone(612) 636-9677
Organization SubpartNo
Authorized OfficialNikisha Lynnette Simmons-maclinExecutive Director · (612) 636-9677
Enumeration DateJanuary 31, 2019
✔ NPI 1811452188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
10026 UNIVERSITY AVE NW STE 103, Coon Rapids, MN 55448
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Other Names 1

Doing Business AsRenewed Life Counseling Services

Other Identifiers 1

Other1098948MN · Minnesota Department Of Human Services

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

Other Providers at the Same Location NPPES

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

MRS. NIKISHA LYNNETTE SIMMONS-MACLIN LADC
Counselor (Addiction (Substance Use Disorder))
10026 UNIVERSITY AVE NW STE 103
COON RAPIDS, MN 55448
Anoka County (612) 636-9677

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 Counseling, LLC's NPI number?

The NPI number for Renewed Life Counseling, LLC is 1811452188. It was assigned to this organization in the NPPES registry on January 31, 2019. The provider is doing business as Renewed Life Counseling Services.

Where is Renewed Life Counseling, LLC located?

Renewed Life Counseling, LLC is located at 10026 University Ave NW Ste 103, Coon Rapids, MN 55448. The listed phone number is (612) 636-9677.

What is Renewed Life Counseling, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Renewed Life Counseling, LLC was last updated on January 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.