Organization
REJUVENATED MINDS THERAPUTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAWNESSA MILLICENT DEVONISH LGPC, NCC (OWNER/ CEO)
(301) 219-6955
Entity
Organization
Contact information
Practice address
137 NATIONAL PLZ STE 300, OXON HILL, MD 20745-1153
(301) 219-6955
Mailing address
137 NATIONAL PLZ STE 300, OXON HILL, MD 20745-1153
(301) 219-6955
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
01/28/2021
Last updated
02/09/2021
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