| Renewed Mind Enrichment Therapy & Community Services Network | |
|
5506 W Chestnut Ave, Apt 222 5506 W Chestnut Ave, Apt 222 Enid OK 73703 | |
| (580) 231-1659 | |
| (855) 629-7098 |
| Full Name | Renewed Mind Enrichment Therapy & Community Services Network |
|---|---|
| Speciality | Clinic/Center |
| Location | 5506 W Chestnut Ave, Apt 222, Enid, Oklahoma |
| Authorized Official Name and Position | Angela Michelle Jackson (OWNER & LICENSED PROFESSIONAL THERA) |
| Authorized Official Contact | 5802311659 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewed Mind Enrichment Therapy & Community Services Network 5506 W Chestnut Ave, Apt 222 5506 W Chestnut Ave, Apt 222 Enid OK 73703 Ph: (580) 231-1659 | Renewed Mind Enrichment Therapy & Community Services Network 5506 W Chestnut Ave, Apt 222 5506 W Chestnut Ave, Apt 222 Enid OK 73703 Ph: (580) 231-1659 |
| NPI Number | 1285388140 |
|---|---|
| Provider Enumeration Date | 02/09/2022 |
| Last Update Date | 02/09/2022 |
| Certification Date | 02/09/2022 |
| Medicare PECOS PAC ID | 6709227226 |
|---|---|
| Medicare Enrollment ID | O20240515002887 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285388140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Angela Michelle Jackson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952695652 PECOS PAC ID: 8426499948 Enrollment ID: I20240821004730 |
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Millennium Community Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 312 N Van Buren St, Enid, OK 73703 Phone: 580-297-5125 Fax: 580-297-5126 | |
Choices Institute Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 529 N Grand St, Enid, OK 73701 Phone: 580-234-8880 Fax: 580-234-8891 | |
Youth And Family Services Of North Central Oklahoma, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2925 Midway St, Enid, OK 73701 Phone: 580-233-7220 Fax: 580-237-7550 | |
Shamrock Counseling Services Llp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 718 W Broadway Ave, Suite 5, Enid, OK 73701 Phone: 580-540-2099 | |
Solutions For Life Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1202 W Willow Rd, Enid, OK 73703 Phone: 580-234-4700 Fax: 580-234-4727 | |
Amanda Percival, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 W Owen K. Garriott Bldg 1, Enid, OK 73703 Phone: 405-426-7434 |