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Redefined Mind Center For Change Llc
Adolescent and Children Mental Health Clinic/Center in Dacula, Georgia
NPI 1730943572

Redefined Mind Center For Change Llc is an Adolescent and Children Mental Health Clinic/Center based in Dacula, GA and is specialized in Adolescent and Children Mental Health. Redefined Mind Center For Change Llc practices in Dacula, GA. The NPI Number for Redefined Mind Center For Change Llc is 1730943572 and holds a License No. (Georgia).

The current practice location address for Redefined Mind Center For Change Llc is 1039 Victoria Walk Ln, Dacula, GA and can be reached out via phone at 973-380-7715.

Location: 1039 Victoria Walk Ln, Dacula, GA, 30019-4215
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730943572
Provider Name
Redefined Mind Center For Change Llc
Credential
Provider Entity Type
Organization
Address
1039 Victoria Walk Ln, Dacula, GA, 30019-4215
Phone Number
973-380-7715
Fax Number
Provider Enumeration Date
02/12/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1039 Victoria Walk Ln
City
Dacula
State
Georgia
Zip
30019-4215
Phone Number
973-380-7715
Fax Number
person
Provider Business Mailing Address Details
Address
1039 Victoria Walk Ln
City
Dacula
State
Georgia
Zip
30019-4215
Phone Number
973-380-7715
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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