Provider Demographics
NPI:1013321397
Name:RENEWED MIND COUNSELING SERVICES
Entity type:Organization
Organization Name:RENEWED MIND COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:229-561-6912
Mailing Address - Street 1:505 S CHURCH ST STE C
Mailing Address - Street 2:
Mailing Address - City:HAHIRA
Mailing Address - State:GA
Mailing Address - Zip Code:31632-1413
Mailing Address - Country:US
Mailing Address - Phone:229-561-6912
Mailing Address - Fax:912-999-3208
Practice Address - Street 1:505 S CHURCH ST STE C
Practice Address - Street 2:
Practice Address - City:HAHIRA
Practice Address - State:GA
Practice Address - Zip Code:31632-1413
Practice Address - Country:US
Practice Address - Phone:229-500-6364
Practice Address - Fax:912-999-3208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-16
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0050911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA1891099867OtherBLUE CROSS BLUE SHIELD/ANTHEM