Organization
RENEW YOUR MIND WELLNESS SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIA COLEY (ADMIN/PROVIDER)
(240) 350-3015
Entity
Organization
Contact information
Practice address
5501 TWIN KNOLLS RD STE 107, COLUMBIA, MD 21045-3260
(443) 690-2272
(855) 450-1084
Mailing address
9091 SNOWDEN RIVER PKWY # 1316, COLUMBIA, MD 21046-1657
(443) 690-2272
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
01/31/2023
Last updated
06/29/2024
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