MIND RENEWAL PSYCHOTHERAPY NPI 1558185157

NPI Information

NPI: 1558185157
Provider Name: MIND RENEWAL PSYCHOTHERAPY
Classification: Clinic/Center - 261QM0850X
Specialization: Adult Mental Health
Entity Type: Organization
Address: 6650 W STATE ST UNIT D143
WAUWATOSA, WI
ZIP 53213
Phone: (414) 301-3145

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NPI Details

MIND RENEWAL PSYCHOTHERAPY is an adult mental health clinic center in Wauwatosa, WI. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. MIND RENEWAL PSYCHOTHERAPY NPI is 1558185157. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6650 W STATE ST UNIT D143
WAUWATOSA, WI
ZIP 53213-827
Phone: (414) 301-3145
Fax: (414) 296-0093

The provider's authorized official is Kimberly Howard .
The authorized official title is Owner and has the following contact phone number (414) 301-3145.

The enumeration date for this NPI number is 11/11/2024 and was last updated on 4/29/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YM0800X	Counselor	Mental Health	No
2	1041C0700X	Social Worker	Clinical	No
3	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
4	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
5	261QM0850X	Clinic/Center	Adult Mental Health	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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