Healthcare Provider Details

I. General information

NPI: 1083416481
Provider Name (Legal Business Name): RENEWED MIND WORKS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2025
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 W REDWOOD ST STE 200
BALTIMORE MD
21201-1708
US

IV. Provider business mailing address

3030 GREENMOUNT AVE STE 300 PMB 731211
BALTIMORE MD
21218-6907
US

V. Phone/Fax

Practice location:
  • Phone: 240-262-0094
  • Fax:
Mailing address:
  • Phone: 240-262-0094
  • Fax:

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: AARON BRANCH
Title or Position: PMHNP-BC
Credential: NURSE PRACTITIONER
Phone: 240-262-0094