Organization
THE MIND RENEWED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACY W FROELICH LCSW (SOCIAL WORKER)
(678) 643-6782
Entity
Organization
Contact information
Practice address
299 COOPER RD STE A, LOGANVILLE, GA 30052-2579
(678) 643-6782
(678) 643-6782
Mailing address
3820 VILLAGE MAIN ST, LOGANVILLE, GA 30052-8619
(678) 643-6782
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CSW006215
GA
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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