# REJUVENATED MINDS, PLLC

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

## Provider details

- **NPI number:** 1588091532
- **Authorized official:** RACHELL DAVIS PMHNP (SOLE ORGANIZER)
- **Authorized official phone:** (919) 800-0757

## Contact information

- **Practice address:** 3719 BENSON DRIVE, RALEIGH, NC 27609-7324
- **Practice address phone:** (919) 800-0757
- **Practice address fax:** (866) 626-1755
- **Mailing address:** 3719 BENSON DR, RALEIGH, NC 27609-7324
- **Mailing address phone:** (919) 800-0757
- **Mailing address fax:** (866) 626-1755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 134272 | NC | Yes |

## Other

- **Enumeration date:** 10/07/2013
- **Last updated:** 11/30/2016