# RENEWED MINDS PSYCHIATRIC SERVICES LLC

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

## Provider details

- **NPI number:** 1790665164
- **Authorized official:** JUANITA PARKER (NURSE PRACTITIONER)
- **Authorized official phone:** (757) 546-4494

## Contact information

- **Practice address:** 1021 EDEN WAY N, CHESAPEAKE, VA 23320-2776
- **Practice address phone:** (757) 546-4494
- **Practice address fax:** (757) 765-6052
- **Mailing address:** 1021 EDEN WAY N STE 118, CHESAPEAKE, VA 23320-2776
- **Mailing address phone:** (757) 546-4494
- **Mailing address fax:** (757) 765-6052

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/05/2025
- **Last updated:** 09/25/2026