Organization Active NPI

Renewing of the Mind,PLLC

  • Community/Behavioral Health Agency
  • Fayetteville, NC
National Provider Identifier
1194424754
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RENEWING OF THE MIND,PLLC
Practice address
108 Hay St Ste 216
Fayetteville, NC 28301-5686
Phone
(919) 446-4999
NPI assigned
Mar 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Authorized official

Name
Latoya Harley, NURSE PRACTITIONERNPI 1417582545
Title
Psychiatric Nurse Practitioner
Phone
(919) 446-4999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Health Service Clinic/Center 261QH0100X
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

108 Hay St Ste 216
Fayetteville, NC 28301-5686

Mailing address

5000 Centre Green Way Ste 500
Cary, NC 27513-5821
Phone (919) 446-4999

Other practice location 1

5000 Centre Green Way Ste 500
Cary, NC 27513-5821
Phone (919) 446-4999

National Provider Directory

National Provider Directory

Locations

108 Hay St
Ste 216
Fayetteville, NC 28301
Phone (910) 354-5459

150 Andrews Rd
Ste 5A
Fayetteville, NC 28311

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1677715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732233600000",
    "number": "1194424754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 CENTRE GREEN WAY STE 500",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275135821",
            "telephone_number": "919-446-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 HAY ST STE 216",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015686",
            "telephone_number": "919-446-4999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 Centre Green Way Ste 500",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275135821",
            "country_code": "US",
            "telephone_number": "919-446-4999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RENEWING OF THE MIND,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-02",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A",
        "authorized_official_last_name": "HARLEY",
        "authorized_official_first_name": "LATOYA",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "919-446-4999",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.