| Renewed Mind Counseling Services | |
|
2109 N Patterson St Ste B Valdosta GA 31602-2577 | |
| (229) 232-4833 | |
| (877) 343-0538 |
| Full Name | Renewed Mind Counseling Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2109 N Patterson St Ste B, Valdosta, Georgia |
| Authorized Official Name and Position | Katherine Freeman (OWNER) |
| Authorized Official Contact | 2292324833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewed Mind Counseling Services 2109 N Patterson St Ste B Valdosta GA 31602-2577 Ph: (229) 232-4833 | Renewed Mind Counseling Services 2109 N Patterson St Ste B Valdosta GA 31602-2577 Ph: (229) 232-4833 |
| NPI Number | 1013321397 |
|---|---|
| Provider Enumeration Date | 06/16/2014 |
| Last Update Date | 07/09/2021 |
| Certification Date | 07/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013321397 | NPI | - | NPPES |
| 1891099867 | Other | GA | BLUE CROSS BLUE SHIELD/ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 005091 (Georgia) | Primary |
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