Renewing Your Mind Therapy Pllc

NPI #1780445015 in Columbia, Illinois

Provider Information

NPI Number: 1780445015
Entity Type: Organization
Organization Name: Renewing Your Mind Therapy Pllc
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jan 23, 2024
Last Updated: Feb 1, 2024

Practice Location

Address: 808 S MAIN ST STE C
City: Columbia
State: Illinois
ZIP Code: 62236-2499
Phone: (618) 327-7130

Authorized Official

Name: CAROL ANN WORTHINGTON, LCSW
Title: THERAPIST
Phone: (618) 327-7130

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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