Mind Renwal

NPI #1083066013 in Desoto, Texas

Provider Information

NPI Number: 1083066013
Entity Type: Organization
Organization Name: Mind Renwal
Primary Specialty: Counselor - Professional
Enumeration Date: Jul 1, 2016
Last Updated: Jul 1, 2016

Practice Location

Address: 1636 N HAMPTON RD
Address 2: SUITE 101
City: Desoto
State: Texas
ZIP Code: 75115-8621
Phone: (817) 658-3812

Authorized Official

Name: MRS. CHRISTINE JEFFRIES, LPC
Title: PARTNER
Phone: (817) 239-8297

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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