| Renewed Mind Psychotherapeutic Services | |
|
11127 Reisterstown Rd Owings Mills MD 21117-2126 | |
| (443) 916-0718 | |
| Not Available |
| Full Name | Renewed Mind Psychotherapeutic Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 11127 Reisterstown Rd, Owings Mills, Maryland |
| Authorized Official Name and Position | Maurice Gregory Mayo (SOCIAL WORKER) |
| Authorized Official Contact | 4439160718 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewed Mind Psychotherapeutic Services 11127 Reisterstown Rd Owings Mills MD 21117-2126 Ph: (443) 916-0718 | Renewed Mind Psychotherapeutic Services 11127 Reisterstown Rd Owings Mills MD 21117-2126 Ph: (443) 916-0718 |
| NPI Number | 1659977031 |
|---|---|
| Provider Enumeration Date | 12/10/2020 |
| Last Update Date | 12/16/2024 |
| Certification Date | 12/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659977031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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