RENEWING MINDS THERAPY P.C. NPI 1629546296

NPI Information

NPI: 1629546296
Provider Name: RENEWING MINDS THERAPY, P.C.
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1555 NAPERVILLE WHEATON RD STE 212
NAPERVILLE, IL
ZIP 60563
Phone: (630) 931-2388
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RENEWING MINDS THERAPY, P.C. is a mental health (including community mental health center) clinic center in Naperville, IL. RENEWING MINDS THERAPY, P.C. NPI is 1629546296. The provider is registered as an organization entity type.

The provider's business location address is:

1555 NAPERVILLE WHEATON RD STE 212
NAPERVILLE, IL
ZIP 60563-517
Phone: (630) 931-2388

The provider's authorized official is Jessie Giese .
The authorized official title is Owner/licensed Clinical Social Work and has the following contact phone number (630) 931-2388.

The enumeration date for this NPI number is 11/13/2018 and was last updated on 11/13/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1780956482	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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