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

Renewed Life Residence LLC

Organization Community/Behavioral Health Agency · NPI 1831011634

Renewed Life Residence LLC is a Community/Behavioral Health Agency in Fort Worth, Texas. Registered with an NPI since 2026.

In the registry since
2026
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

8504 Terra Cota Ln
Fort Worth, TX 76123-2934
Phone: (817) 805-0702
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1831011634
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Harriett Wilson — Managing Partner · (817) 805-0702
NPI enumeratedJuly 27, 2026
Last updated in NPPESJuly 27, 2026
Certification dateJuly 26, 2026
Mailing address8504 Terra Cota Ln, Fort Worth, TX 76123-2934

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