Renew Your Mind - Counseling Consulting and Supervision LLC

NPI #1699278283 in Hayward, Wisconsin

Provider Information

NPI Number: 1699278283
Entity Type: Organization
Organization Name: Renew Your Mind - Counseling Consulting and Supervision LLC
Primary Specialty: Counselor - Professional
Enumeration Date: Mar 9, 2018
Last Updated: May 16, 2024

Practice Location

Address: 15561 RAILROAD ST STE 203A
City: Hayward
State: Wisconsin
ZIP Code: 54843-5703
Phone: (651) 347-1380

Authorized Official

Name: LESLEY M BOOZELL
Title: CREDENTIAL SPECIALIST
Phone: (218) 232-0856

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Professional — Professional	101YP2500X	Primary

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