Organization Active NPI

Mind Renewals Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Memphis, TN
National Provider Identifier
1053829598
Registry record updated Jan 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MIND RENEWALS INC
Practice address
1005 Tillman St Ste 217
Memphis, TN 38112-2038
Phone
(901) 468-3349
NPI assigned
Jan 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kimberly Atkins, EDD, LCSW
Title
President/Ceo
Phone
(901) 468-3349

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1005 Tillman St Ste 217
Memphis, TN 38112-2038

Mailing address

1005 Tillman St Ste 217
Memphis, TN 38112-2038
Phone (901) 468-3349

Other names 1

  • Mind Renewals Inc Doing business as

National Provider Directory

National Provider Directory

Locations

1005 Tillman St
Ste 217
Memphis, TN 38112
Phone (901) 380-2042

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516233600000",
    "number": "1053829598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 TILLMAN ST STE 217",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381122038",
            "telephone_number": "901-468-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 TILLMAN ST STE 217",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381122038",
            "telephone_number": "901-468-3349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND RENEWALS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-18",
        "last_updated": "2018-01-18",
        "status": "A",
        "authorized_official_last_name": "ATKINS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "901-468-3349",
        "authorized_official_credential": "EDD, LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mind Renewals Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.