MEDICARE: RENEWED MINDS PSYCHIATRIC SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1790665164
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RENEWED MINDS PSYCHIATRIC SERVICES

Provider Business Mailing Address
First Line	:	1728 VIRGINIA BEACH BLVD STE 114
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-4533
Country	:	US
Telephone Number	:	757-546-4494
Fax Number	:	757-765-6052

Provider Business Practice Location Address
First Line	:	1021 EDEN WAY N
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23320-2776
Country	:	US
Telephone Number	:	757-546-4494
Fax Number	:	757-590-4159

Authorized Official
Title or Position	:	NURSE PRACTITIONER
Name	:	MRS. JUANITA PARKER
Credential	:	PHMNP
Telephone Number	:	803-466-2414

Provider Enumeration Date	:	09/05/2025
Last Update Date	:	12/18/2025

Similar Medicare Providers

1114440484 — MRS. JUANITA PARKER NURSE PRACTITIONER
Practice Location Address:

1021 EDEN WAY N
CHESAPEAKE, VA
23320-2776

Practice Phone: 757-842-4233
Practice Fax:

1871653980 — MR. MICHAEL LOUIS PACHUILO M.S., CCC-A
Practice Location Address:

1021 EDEN WAY N , SUITE 111
CHESAPEAKE, VA
23320-2776

Practice Phone: 757-547-3560
Practice Fax: 757-547-5053

1174793400 — GREENBRIER FAMILY PRACTICE, P.C.
Practice Location Address:

1021 EDEN WAY N STE 109
CHESAPEAKE, VA
23320-2776

Practice Phone: 757-547-0999
Practice Fax: 757-547-0770

1306147798 — GLI LLC
Practice Location Address:

1021 EDEN WAY N , 124
CHESAPEAKE, VA
23320-2776

Practice Phone: 757-842-6757
Practice Fax: 757-842-6786

1821332198 — T. WILLIAMS ENTERPRISES CORP
Practice Location Address:

1021 EDEN WAY N , SUITE 120
CHESAPEAKE, VA
23320-2776

Practice Phone: 757-424-9800
Practice Fax: 757-424-9801

1366885881 — T WILLIAMS ENTERPRISES LLC
Practice Location Address:

1021 EDEN WAY N , SUITE 120
CHESAPEAKE, VA
23320-2776

Practice Phone: 757-424-9800
Practice Fax: 757-424-9801

Directions to “RENEWED MINDS PSYCHIATRIC SERVICES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.