Mind Renewal LLC
NPI #1710462262 in Kernersville, North Carolina
Provider Information
- NPI Number
- 1710462262
- Entity Type
- Organization
- Organization Name
- Mind Renewal LLC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Oct 1, 2018
- Last Updated
- Oct 1, 2018
Practice Location
- Address
- 1613 ROUND HILL CIR
- City
- Kernersville
- State
- North Carolina
- ZIP Code
- 27284-7929
- Phone
- (336) 253-5286
Authorized Official
- Name
- MR. KHALID GREENAWAY, LPC
- Title
- CEO
- Phone
- (336) 253-5286
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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