Renewed Mind Enrichment Therapy & Community Services Network

NPI #1285388140 in Enid, Oklahoma

Provider Information

NPI Number: 1285388140
Entity Type: Organization
Organization Name: Renewed Mind Enrichment Therapy & Community Services Network
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Feb 9, 2022
Last Updated: Feb 9, 2022

Practice Location

Address: 5506 W CHESTNUT AVE, APT 222
Address 2: 5506 W CHESTNUT AVE, APT 222
City: Enid
State: Oklahoma
ZIP Code: 73703
Phone: (580) 231-1659

Authorized Official

Name: DR. ANGELA MICHELLE JACKSON, PHD, LPC
Title: OWNER & LICENSED PROFESSIONAL THERA
Phone: (580) 231-1659

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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