Renewed Minds Therapeutic Services LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

RENEWED MINDS THERAPEUTIC SERVICES LLC

Practice address

3428 N Church St
Greensboro, NC 27405-3254

Phone

(336) 542-0581

NPI assigned

Nov 3, 2017

Organization subpart

No

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

Authorized official

Name

Megan Commedo MoravianNPI 1356853956

Title

Founder/Admin

Phone

(336) 554-3486

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Megan Commedo Moravian

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Browns Summit, NC
  • NPI 1356853956
  NPD (past) Authorized official

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1083126676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3428 N CHURCH ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274053254",
            "telephone_number": "336-542-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3428 N CHURCH ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274053254",
            "telephone_number": "336-542-0581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 E Cone Blvd",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274054536",
            "country_code": "US",
            "telephone_number": "336-542-0581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RENEWED MINDS THERAPEUTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-03",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "MORAVIAN",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "COMMEDO",
        "authorized_official_title_or_position": "FOUNDER/ADMIN",
        "authorized_official_telephone_number": "336-554-3486"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marylee Williamson Rembert, MSW,ACSW,LCSW
• Elizabeth Remsburg
• Renaissance Healthcare Group Raleigh, LLC (Pasadena Villa Outpatient Center-Triad)
• Renaissance Healthcare Systems, LLC
• Jenna Renfroe, PHD
• Emily Catherine Renn, RN
• Julie Elizabeth Rennie, CRNA
• Bharaneeshwar Renukuntla
• Heather Riley Replogle, MS, CRC, LPCA

• Professional Counselor in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.