# RENEWED MIND - MENTAL HEALTH LLC

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

## Provider details

- **NPI number:** 1346929668
- **Authorized official:** TOUSSAINT GOLDING (OWNER OF ENTITY)
- **Authorized official phone:** (772) 812-0168

## Contact information

- **Practice address:** 130 S INDIAN RIVER DR STE 202, FORT PIERCE, FL 34950-4353
- **Practice address phone:** (772) 812-0168
- **Mailing address:** 130 S INDIAN RIVER DR STE 202, FORT PIERCE, FL 34950-4353
- **Mailing address phone:** (772) 812-0168

## 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:** 07/13/2023
- **Last updated:** 07/13/2023