Organization
A RENEWED MIND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES JEFFREY EARLE MAE, MRC; CDCA; LPC (CLINICAL THERAPIST)
(419) 873-8280
Entity
Organization
Contact information
Practice address
900 W SOUTH BOUNDARY ST BLDG 2, PERRYSBURG, OH 43551-5230
(419) 873-8280
(419) 873-8320
Mailing address
1704 CASS RD, MAUMEE, OH 43537-2331
(614) 962-0264
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
C.0500399
OH
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up