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General NPI Number Information
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NPI Number | 1386585271
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Entity Type | Organization
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Legal Business Name | RENEWED MIND WELLNESS IOP LLC
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Dates
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Enumeration Date | 04/03/2026
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Last Update Date | 04/03/2026
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Provider Practice Location Address
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Address Line | 533 NEWTOWN RD STE 115
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-5758
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Country | US
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Telephone | 757-204-1901
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Fax | 908-504-8194
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Provider Business Mailing Address
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Address Line | 533 NEWTOWN RD STE 115
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-5758
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Country | US
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Telephone | 757-204-1901
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Fax | 908-504-8194
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Authorized Official
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Title or Position | OWNER
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Name | DR. NAKESHIA MOUZON
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Credential | DNP, PMHNP-BC, FNP-C
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Telephone | 757-204-1901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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