Provider Demographics
NPI:1619654639
Name:RENEWED MINDS COUNSELING, LLC
Entity type:Organization
Organization Name:RENEWED MINDS COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SAUNDRA
Authorized Official - Middle Name:D
Authorized Official - Last Name:CROSS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LPC-SC
Authorized Official - Phone:843-212-6768
Mailing Address - Street 1:431 SAINT JAMES AVE STE L-167
Mailing Address - Street 2:
Mailing Address - City:GOOSE CREEK
Mailing Address - State:SC
Mailing Address - Zip Code:29445-2768
Mailing Address - Country:US
Mailing Address - Phone:843-819-9775
Mailing Address - Fax:
Practice Address - Street 1:597 OLD MOUNT HOLLY RD STE 307
Practice Address - Street 2:
Practice Address - City:GOOSE CREEK
Practice Address - State:SC
Practice Address - Zip Code:29445-2834
Practice Address - Country:US
Practice Address - Phone:843-212-6768
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-30
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty