MIND RENEWAL SERVICES, LLC - NPI 1447679519 - Social Worker in Greenville, SC

Q: What is Mind Renewal Services, LLC's NPI number?

The NPI number for Mind Renewal Services, LLC is 1447679519. It was assigned to this organization in the NPPES registry on April 15, 2014.

Q: What is Mind Renewal Services, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

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About Mind Renewal Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIND RENEWAL SERVICES, LLC (NPI 1447679519) is a healthcare organization registered as a clinical in Greenville, South Carolina and active in the NPI registry since April 2014. The organization lists Brandy Thompson-fisher, Clinical Social Worker, as its authorized official.

NPPES Registry Identity

NPI1447679519

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameMIND RENEWAL SERVICES, LLC

Location Address439 CONGAREE RDGreenville, SC 29607-2867

Mailing Address439 Congaree RdGreenville, SC 29607-2867 · (864) 509-9087 · Fax (864) 509-9072

Phone(864) 509-9087

Fax(864) 509-9072

Organization SubpartNo

Authorized OfficialBrandy Thompson-fisherClinical Social Worker · (443) 867-6663

Enumeration DateApril 15, 2014

✔ NPI 1447679519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in SC · 10538

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

439 CONGAREE RD, Greenville, SC 29607

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Other Identifiers 1

MedicaidSW1164SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COUNSELING SERVICES OF GREENVILLE

Counselor (Professional)