Organization
RENEWED MINDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARQUITA DR THURMAN LCSW (SOLE PROPREITOR/ OWNER)
(662) 420-8208
Entity
Organization
Contact information
Practice address
190 W SOUTH ST, HERNANDO, MS 38632-2245
(662) 420-8208
Mailing address
190 W SOUTH ST, HERNANDO, MS 38632-2245
(662) 420-8208
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1079661
MS
Other
Enumeration date
12/17/2015
Last updated
12/17/2015
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