Organization
RENEWMIND OUTPATIENT
Active
Other names
Renewmind Outpatient, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACY MOTTON (DIRECTOR)
(757) 613-7349
Entity
Organization
Contact information
Practice address
319 MAIN ST STE 104, SMITHFIELD, VA 23430-1326
(757) 613-7349
(757) 279-0238
Mailing address
4010 FORT HUGER DR, SMITHFIELD, VA 23430-5418
(757) 613-7349
(757) 279-0238
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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