Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SOUL RENEWAL THERAPY LLC
Active
Organization
SOUL RENEWAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY KIENOW PAYCHEK (LCSW)
(605) 380-0349
Entity
Organization
Contact information
Practice address
338 LAWTON RD, RIVERSIDE, IL 60546-2359
(605) 380-0349
Mailing address
338 LAWTON RD, RIVERSIDE, IL 60546-2359
(605) 380-0349
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up