| Mind Renewal Psychotherapy | |
|
5464 N Port Washington Rd # C104 Milwaukee WI 53217-4925 | |
| (414) 301-3145 | |
| Not Available |
| Full Name | Mind Renewal Psychotherapy |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5464 N Port Washington Rd # C104, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Kimberly Howard (OWNER) |
| Authorized Official Contact | 4143013145 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Renewal Psychotherapy 5464 N Port Washington Rd # C104 Milwaukee WI 53217-4925 Ph: (414) 301-3145 | Mind Renewal Psychotherapy 5464 N Port Washington Rd # C104 Milwaukee WI 53217-4925 Ph: (414) 301-3145 |
| NPI Number | 1558185157 |
|---|---|
| Provider Enumeration Date | 11/11/2024 |
| Last Update Date | 11/11/2024 |
| Certification Date | 11/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558185157 | NPI | - | NPPES |
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