Organization
PSYCH QA SERVICES INC DBA RENEW MIND AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERYN FERNANDEZ PAUL APRN (PRESIDENT)
(754) 332-4395
Entity
Organization
Contact information
Practice address
7765 SW 87TH AVE STE 105, MIAMI, FL 33173-2535
(754) 332-4395
Mailing address
7765 SW 87TH AVE STE 105, MIAMI, FL 33173-2535
(786) 558-4129
(949) 593-8808
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106042000
—
FL
05
—
129216600
—
FL
Enumeration date
10/29/2025
Last updated
03/13/2026
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