Provider Demographics
NPI:1053614446
Name:RENEWING MINDS, INC
Entity type:Organization
Organization Name:RENEWING MINDS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:D
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:225-757-5854
Mailing Address - Street 1:10414 MAMMOTH AVE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70814-4426
Mailing Address - Country:US
Mailing Address - Phone:225-757-5854
Mailing Address - Fax:225-757-5854
Practice Address - Street 1:10414 MAMMOTH AVE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70814-4426
Practice Address - Country:US
Practice Address - Phone:225-757-5854
Practice Address - Fax:225-757-5854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-07
Last Update Date:2010-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health