Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Revived and Renewed Mental Health, LLC

Organization Community/Behavioral Health Agency · NPI 1376151969

Revived and Renewed Mental Health, LLC is a Community/Behavioral Health Agency in Lafayette, Louisiana. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
4
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

4400 Ambassador Caffery Pkwy Ste A167
Lafayette, LA 70508-6760
Phone: (337) 450-0406
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Mental Health Clinic/Center (primary) Taxonomy 261QM0850X
Community/Behavioral Health Agency Taxonomy 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X

Record details

NPI number1376151969
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brandy Skidmore — Lcsw/Owner · (337) 450-0406
NPI enumeratedJuly 20, 2020
Last updated in NPPESJuly 20, 2020
Certification dateJuly 20, 2020
Mailing address4400 Ambassador Caffery Pkwy Ste A167, Lafayette, LA 70508-6760

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