Healthcare Provider Details

I. General information

NPI: 1376400952
Provider Name (Legal Business Name): RENEWING YOUR MIND NURSING SOLUTIONS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25350 MAGIC MOUNTAIN PKWY STE 300
VALENCIA CA
91355-1356
US

IV. Provider business mailing address

25350 MAGIC MOUNTAIN PKWY STE 300
VALENCIA CA
91355-1356
US

V. Phone/Fax

Practice location:
  • Phone: 909-275-4798
  • Fax: 909-667-8150
Mailing address:
  • Phone: 909-275-4798
  • Fax: 909-667-8150

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MS. LAURICE E HAYCRAFT
Title or Position: PMHNP-BC
Credential: NURSE PRACTITIONER
Phone: 909-275-4798