Renewed Mind Partial Hospitalization Program

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

RENEWED MIND PARTIAL HOSPITALIZATION PROGRAM

Practice address

3311 N Valdosta Rd
Valdosta, GA 31602-1082

Phone

(229) 561-5912

NPI assigned

Jul 9, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Katherine Moseley Freeman, LCSW

Title

Co- Owner

Phone

(229) 561-5912

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1295572113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 GEORGIA AVE",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022427",
            "telephone_number": "229-561-5912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 N VALDOSTA RD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021082",
            "telephone_number": "229-561-5912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED MIND PARTIAL HOSPITALIZATION PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "MOSELEY",
        "authorized_official_title_or_position": "CO- OWNER",
        "authorized_official_telephone_number": "229-561-5912",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.