Organization
LIFE RENEW COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERA BROWNLEE LPC-MHSP (OWNER/THERAPIST)
(901) 647-6160
Entity
Organization
Contact information
Practice address
2924 WALNUT GROVE RD, MEMPHIS, TN 38111-2719
(901) 647-6160
Mailing address
652 SPOTTSWOOD MANOR DR, MEMPHIS, TN 38111-4329
(901) 647-6160
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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