# PSYCH QA SERVICES INC DBA RENEW MIND AND WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053289165
- **Authorized official:** KATHERYN FERNANDEZ PAUL APRN (PRESIDENT)
- **Authorized official phone:** (754) 332-4395

## Contact information

- **Practice address:** 7765 SW 87TH AVE STE 105, MIAMI, FL 33173-2535
- **Practice address phone:** (754) 332-4395
- **Mailing address:** 7765 SW 87TH AVE STE 105, MIAMI, FL 33173-2535
- **Mailing address phone:** (786) 558-4129
- **Mailing address fax:** (949) 593-8808

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/29/2025
- **Last updated:** 03/13/2026