Rejuvenating Minds Mental Health LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

REJUVENATING MINDS MENTAL HEALTH LLC

Doing business as

Rejuvenating Minds Mental Health LLC

Practice address

26015 Reedy Rd
North Dinwiddie, VA 23803-7737

Phone

(804) 896-4951

NPI assigned

Jan 2, 2024

Last updated

Jan 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kendale D TuckerNPI 1669239521

Title

Owner

Phone

(804) 586-1169

Specialties & licenses 1

Addresses

Other names 1

• Rejuvenating Minds Mental Health LLC Doing business as

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.

• Kendale D Tucker

  • Social Worker
  • North Dinwiddie, VA
  • NPI 1669239521
  NPD Authorized official

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1356111371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26015 REEDY RD",
            "city": "NORTH DINWIDDIE",
            "state": "VA",
            "postal_code": "238037737",
            "telephone_number": "804-896-4951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26015 REEDY RD",
            "city": "NORTH DINWIDDIE",
            "state": "VA",
            "postal_code": "238037737",
            "telephone_number": "804-896-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVENATING MINDS MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "KENDALE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-586-1169"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rejuvenating Minds Mental Health LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in North Dinwiddie, VA
• Providers in North Dinwiddie, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.