| Renewed Mind Psychiatry And Counseling | |
|
2109 N Patterson St Ste B Valdosta GA 31602-2577 | |
| (229) 232-4833 | |
| (877) 343-0538 |
| Full Name | Renewed Mind Psychiatry And Counseling |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2109 N Patterson St Ste B, Valdosta, Georgia |
| Authorized Official Name and Position | Wendy Liana Vandemark (OWNER) |
| Authorized Official Contact | 2292324833 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewed Mind Psychiatry And Counseling 2109 N Patterson St Ste B Valdosta GA 31602-2577 Ph: (229) 232-4833 | Renewed Mind Psychiatry And Counseling 2109 N Patterson St Ste B Valdosta GA 31602-2577 Ph: (229) 232-4833 |
| NPI Number | 1083042105 |
|---|---|
| Provider Enumeration Date | 10/29/2013 |
| Last Update Date | 01/18/2024 |
| Certification Date | 01/18/2024 |
| Medicare PECOS PAC ID | 7618103300 |
|---|---|
| Medicare Enrollment ID | O20131203000609 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083042105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
| Provider Name | Nitin R Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770511156 PECOS PAC ID: 2466443296 Enrollment ID: I20040520001072 |
| Provider Name | Wendy Vandemark |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386698231 PECOS PAC ID: 2264491554 Enrollment ID: I20060802000052 |
| Provider Name | Carmen D Turner |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1144473604 PECOS PAC ID: 1850349549 Enrollment ID: I20090309000008 |
| Provider Name | Stephanie L Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649542143 PECOS PAC ID: 4880822857 Enrollment ID: I20140121000869 |
| Provider Name | Stanley Soles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750790465 PECOS PAC ID: 3779800834 Enrollment ID: I20150330001084 |
| Provider Name | Julene D Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083071898 PECOS PAC ID: 6406134238 Enrollment ID: I20161031000790 |
| Provider Name | Brandi Cecile Joiner Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043729247 PECOS PAC ID: 5092060046 Enrollment ID: I20180615002292 |
| Provider Name | Shelby L Elder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205333424 PECOS PAC ID: 4183973357 Enrollment ID: I20180821002553 |
Lynze Vickers, Lmft, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3350 Noble Way, Suite B, Valdosta, GA 31605 Phone: 229-333-0300 | |
Renewed Mind Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2109 N Patterson St Ste B, Valdosta, GA 31602 Phone: 229-232-4833 Fax: 877-343-0538 | |
Southern Neurology, Physical Medicine & Rehabilitation, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4913 Lanes Pond Rd, Valdosta, GA 31601 Phone: 229-292-2074 | |
Megan Tillman Lmft Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3310 Bemiss Rd, Valdosta, GA 31605 Phone: 229-586-6082 | |
The Healing Touch Counseling Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4072 Mulligan Rd, Valdosta, GA 31605 Phone: 229-356-7190 | |
Greenleaf Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2209 Pineview Dr, Valdosta, GA 31602 Phone: 229-247-4357 Fax: 229-244-6194 | |
Cazales Autism Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2704 N Oak St Bldg A1, Valdosta, GA 31602 Phone: 203-606-1676 Fax: 229-598-0557 |