Mind Renew,llc - Mental Health Clinic in Surprise, AZ

Mind Renew,llc is a mental health clinic (Counselor - Mental Health) in Surprise, Arizona. The current practice location for Mind Renew,llc is 12211 W Bell Rd, Surprise, Arizona. For appointments, you can reach them via phone at (404) 953-2501. The mailing address for Mind Renew,llc is 17569 W Banff Ln, Surprise, Arizona and phone number is (404) 953-2501.

Mind Renew,llc is licensed to practice in * (Not Available) (license number ) and its NPI number is 1033740196. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (404) 953-2501.

Contact Information

Mind Renew,llc
12211 W Bell Rd
Surprise
AZ 85378-9521
(404) 953-2501
Not Available

Mental Health Clinic Profile

Full NameMind Renew,llc
SpecialityCounselor - Mental Health
Location12211 W Bell Rd, Surprise, Arizona
Authorized Official Name and PositionShockie Dersno (OWNER)
Authorized Official Contact4049532501
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mind Renew,llc
17569 W Banff Ln
Surprise
AZ 85388-7891

Ph: (404) 953-2501
Mind Renew,llc
12211 W Bell Rd
Surprise
AZ 85378-9521

Ph: (404) 953-2501

NPI Details:

NPI Number1033740196
Provider Enumeration Date01/28/2020
Last Update Date01/28/2020
Certification Date01/28/2020

Medical Identifiers

Medical identifiers for Mind Renew,llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033740196NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Primary

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› Verified 4 days ago

Counselor in Surprise, AZ

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