Healthcare Provider Details

I. General information

NPI: 1245961390
Provider Name (Legal Business Name): RENEWED MINDS COUNSELING AND WELLNESS SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2022
Last Update Date: 09/14/2022
Certification Date: 09/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5860 CITRUS BLVD # D-138
NEW ORLEANS LA
70123-8520
US

IV. Provider business mailing address

5860 CITRUS BLVD # D-138
NEW ORLEANS LA
70123-8520
US

V. Phone/Fax

Practice location:
  • Phone: 504-814-0284
  • Fax:
Mailing address:
  • Phone: 504-814-0284
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. DOMONIQUE LEMIEUX
Title or Position: OWNER/LICENSED PROFESSIONAL COUNSEL
Credential: PHD
Phone: 504-975-1637