Redefined Mind Center for Change LLC

NPI #1730943572 in Dacula, Georgia

Provider Information

NPI Number: 1730943572
Entity Type: Organization
Organization Name: Redefined Mind Center for Change LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Feb 12, 2024
Last Updated: Feb 12, 2024

Practice Location

Address: 1039 VICTORIA WALK LN
City: Dacula
State: Georgia
ZIP Code: 30019-4215
Phone: (973) 380-7715

Authorized Official

Name: MRS. DAJA SHANAY ROBINSON, MS, LPC
Title: LICENSED PROFESSIONAL COUNSELOR
Phone: (973) 380-7715

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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