Provider Demographics
NPI:1407485030
Name:RENEWING THE MIND COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:RENEWING THE MIND COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPLE & CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CHONDRA
Authorized Official - Middle Name:ADELE
Authorized Official - Last Name:PERDUE
Authorized Official - Suffix:
Authorized Official - Credentials:ALC
Authorized Official - Phone:510-316-9388
Mailing Address - Street 1:3105 SUNVIEW DR UNIT 430232
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35243-7758
Mailing Address - Country:US
Mailing Address - Phone:334-316-9388
Mailing Address - Fax:334-888-8311
Practice Address - Street 1:4268 CAHABA HEIGHTS COURT
Practice Address - Street 2:128
Practice Address - City:VESTAVIA HILLS
Practice Address - State:AL
Practice Address - Zip Code:36243
Practice Address - Country:US
Practice Address - Phone:334-316-3755
Practice Address - Fax:334-888-8311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-06
Last Update Date:2020-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty