| Renewed Mind Partial Hospitalization Program | |
|
3311 N Valdosta Rd Valdosta GA 31602-1082 | |
| (229) 561-5912 | |
| Not Available |
| Full Name | Renewed Mind Partial Hospitalization Program |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3311 N Valdosta Rd, Valdosta, Georgia |
| Authorized Official Name and Position | Katherine Moseley Freeman (CO- OWNER) |
| Authorized Official Contact | 2295615912 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewed Mind Partial Hospitalization Program 412 Georgia Ave Valdosta GA 31602-2427 Ph: (229) 561-5912 | Renewed Mind Partial Hospitalization Program 3311 N Valdosta Rd Valdosta GA 31602-1082 Ph: (229) 561-5912 |
| NPI Number | 1295572113 |
|---|---|
| Provider Enumeration Date | 07/09/2024 |
| Last Update Date | 07/09/2024 |
| Certification Date | 07/09/2024 |
| Medicare PECOS PAC ID | 7416489141 |
|---|---|
| Medicare Enrollment ID | O20241018000800 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295572113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Wendy Vandemark |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386698231 PECOS PAC ID: 2264491554 Enrollment ID: I20060802000052 |
| Provider Name | Katherine Freeman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891099867 PECOS PAC ID: 8426276528 Enrollment ID: I20140903001089 |
| Provider Name | Julene D Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083071898 PECOS PAC ID: 6406134238 Enrollment ID: I20161031000790 |
| Provider Name | Shelby L Elder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205333424 PECOS PAC ID: 4183973357 Enrollment ID: I20180821002553 |
Lynze Vickers, Lmft, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3350 Noble Way, Suite B, Valdosta, GA 31605 Phone: 229-333-0300 | |
Renewed Mind Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2109 N Patterson St Ste B, Valdosta, GA 31602 Phone: 229-232-4833 Fax: 877-343-0538 | |
Southern Neurology, Physical Medicine & Rehabilitation, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4913 Lanes Pond Rd, Valdosta, GA 31601 Phone: 229-292-2074 | |
The Healing Touch Counseling Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4072 Mulligan Rd, Valdosta, GA 31605 Phone: 229-356-7190 | |
Cazales Autism Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2704 N Oak St Bldg A1, Valdosta, GA 31602 Phone: 203-606-1676 Fax: 229-598-0557 |