Organization
PSYCHIATRIC CONSULTING SERVICES OF SOUTH GEORGIA, LLC
Active
Other names
Renewed Mind Psychiatry and Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY LIANA VANDEMARK MD (OWNER)
(229) 232-4833
Entity
Organization
Contact information
Practice address
2109 N PATTERSON ST STE B, VALDOSTA, GA 31602-2577
(229) 232-4833
(877) 343-0538
Mailing address
2109 N PATTERSON ST STE B, VALDOSTA, GA 31602-2577
(229) 232-4833
(877) 343-0538
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
10/29/2013
Last updated
01/18/2024
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