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Organization
MIND RENEWAL LLC
Active
Organization
MIND RENEWAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KHALID GREENAWAY LPC (CEO)
(336) 253-5286
Entity
Organization
Contact information
Practice address
1613 ROUND HILL CIR, KERNERSVILLE, NC 27284-7929
(336) 253-5286
Mailing address
1613 ROUND HILL CIR, KERNERSVILLE, NC 27284-7929
(336) 253-5286
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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