Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Renewed Life Counseling, LLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1811452188

Renewed Life Counseling, LLC is an Addiction (Substance Use Disorder) Counselor in Coon Rapids, Minnesota. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10026 University Ave NW Ste 103
Coon Rapids, MN 55448-2213
Phone: (612) 636-9677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1811452188
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nikisha Simmons-Maclin — Executive Director · (612) 636-9677
Other names Renewed Life Counseling Services
NPI enumeratedJanuary 31, 2019
Last updated in NPPESJanuary 31, 2019
Mailing address10026 University Ave Nw Ste 103, Coon Rapids, MN 55448-2213

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