Organization
REDEFINED MIND CENTER FOR CHANGE LLC
Active
Other names
Redefined Mind Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAJA SHANAY ROBINSON MS, LPC (LICENSED PROFESSIONAL COUNSELOR)
(973) 380-7715
Entity
Organization
Contact information
Practice address
1039 VICTORIA WALK LN, DACULA, GA 30019-4215
(973) 380-7715
Mailing address
1039 VICTORIA WALK LN, DACULA, GA 30019-4215
(678) 926-9848
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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