Organization
RENEWED THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY CHISHOLM LCMHCS (OWNER / CLINICAL DIRECTOR)
(919) 244-7638
Entity
Organization
Contact information
Practice address
105 INISFREE PL, MORRISVILLE, NC 27560-7525
(919) 244-7638
Mailing address
105 INISFREE PL, MORRISVILLE, NC 27560-7525
(919) 244-7638
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/11/2023
Last updated
12/15/2025
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