Organization
RENEWED MIND COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHERINE FREEMAN LCSW (OWNER)
(229) 561-6912
Entity
Organization
Contact information
Practice address
505 S CHURCH ST STE C, HAHIRA, GA 31632-1413
(229) 500-6364
(912) 999-3208
Mailing address
505 S CHURCH ST STE C, HAHIRA, GA 31632-1413
(229) 561-6912
(912) 999-3208
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005091
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891099867
BLUE CROSS BLUE SHIELD/ANTHEM
GA
Enumeration date
06/16/2014
Last updated
07/11/2025
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