The Mind Renewed LLC
NPI #1932616109 in Loganville, Georgia
Provider Information
- NPI Number
- 1932616109
- Entity Type
- Organization
- Organization Name
- The Mind Renewed LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jan 9, 2018
- Last Updated
- Jan 9, 2018
Practice Location
- Address
- 299 COOPER RD STE A
- City
- Loganville
- State
- Georgia
- ZIP Code
- 30052-2579
- Phone
- (678) 643-6782
Authorized Official
- Name
- MRS. STACY W FROELICH, LCSW
- Title
- SOCIAL WORKER
- Phone
- (678) 643-6782
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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