| Mind Renewal Llc | |
|
1613 Round Hill Cir Kernersville NC 27284-7929 | |
| (336) 253-5286 | |
| Not Available |
| Full Name | Mind Renewal Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1613 Round Hill Cir, Kernersville, North Carolina |
| Authorized Official Name and Position | Khalid Greenaway (CEO) |
| Authorized Official Contact | 3362535286 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Renewal Llc 1613 Round Hill Cir Kernersville NC 27284-7929 Ph: (336) 253-5286 | Mind Renewal Llc 1613 Round Hill Cir Kernersville NC 27284-7929 Ph: (336) 253-5286 |
| NPI Number | 1710462262 |
|---|---|
| Provider Enumeration Date | 10/01/2018 |
| Last Update Date | 10/01/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710462262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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