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Organization
MIND RENEWAL TRANSFORMATIONAL CENTRE INC
Active
Organization
MIND RENEWAL TRANSFORMATIONAL CENTRE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL PEATS-CLARKE LMHC (CEO)
(718) 300-9165
Entity
Organization
Contact information
Practice address
2303 AVELLINO AVE, SAINT CLOUD, FL 34771-8010
(074) 818-9344
Mailing address
2015 BRAMBLEWOOD DR, SAINT CLOUD, FL 34769-5038
(407) 922-0511
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/02/2019
Last updated
12/16/2020
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