# RENEWED MINDS THERAPEUTIC SERVICES

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

## Provider details

- **NPI number:** 1316509458
- **Authorized official:** MRS. MEATRIA L TYSON LCPC (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (770) 880-4816

## Contact information

- **Practice address:** 1515 E BIDDLE ST, BALTIMORE, MD 21213-2901
- **Practice address phone:** (410) 534-2141
- **Mailing address:** 3399 PEACHTREE RD NE STE 400, ATLANTA, GA 30326-2825
- **Mailing address phone:** (770) 880-4816

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 06/28/2019
- **Last updated:** 06/28/2019