# RENEWING THE MIND PC

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

## Provider details

- **NPI number:** 1699150979
- **Authorized official:** RAUL SANCHEZ PHD (PRESIDENT)
- **Authorized official phone:** (712) 271-6463

## Contact information

- **Practice address:** 3930 STADIUM DR STE 1, SIOUX CITY, IA 51106-5166
- **Practice address phone:** (712) 271-6463
- **Practice address fax:** (712) 271-6464
- **Mailing address:** 3930 STADIUM DR STE 1, SIOUX CITY, IA 51106-5166
- **Mailing address phone:** (712) 271-6463
- **Mailing address fax:** (712) 271-6464

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 01010 | IA | Yes |

## Other

- **Enumeration date:** 07/28/2015
- **Last updated:** 07/28/2015