| Renewed Minds Counseling, Llc | |
|
597 Old Mount Holly Rd Ste 307 Goose Creek SC 29445-2834 | |
| (843) 212-6768 | |
| Not Available |
| Full Name | Renewed Minds Counseling, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 597 Old Mount Holly Rd Ste 307, Goose Creek, South Carolina |
| Authorized Official Name and Position | Saundra D Cross (OWNER) |
| Authorized Official Contact | 8432126768 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewed Minds Counseling, Llc 431 Saint James Ave Ste L-167 Goose Creek SC 29445-2768 Ph: (843) 819-9775 | Renewed Minds Counseling, Llc 597 Old Mount Holly Rd Ste 307 Goose Creek SC 29445-2834 Ph: (843) 212-6768 |
| NPI Number | 1619654639 |
|---|---|
| Provider Enumeration Date | 06/30/2023 |
| Last Update Date | 08/27/2024 |
| Certification Date | 08/27/2024 |
| Medicare PECOS PAC ID | 8022450055 |
|---|---|
| Medicare Enrollment ID | O20240522003036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619654639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Saundra D. Harvey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407235765 PECOS PAC ID: 9931541968 Enrollment ID: I20240522003197 |
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