Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mind Renewal Psychotherapy

Organization Mental Health Counselor · NPI 1558185157

Mind Renewal Psychotherapy is a Mental Health Counselor in Wauwatosa, Wisconsin. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
5

Practice location Address checks out

6650 W State St Unit D143
Wauwatosa, WI 53213-2827
Phone: (414) 301-3145
Fax: (414) 296-0093
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Mental Health Clinic/Center (primary) Taxonomy 261QM0850X
Mental Health Counselor Taxonomy 101YM0800X
Clinical Social Worker Taxonomy 1041C0700X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X

Record details

NPI number1558185157
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Howard — Owner · (414) 301-3145
NPI enumeratedNovember 11, 2024
Last updated in NPPESApril 29, 2025
Certification dateApril 29, 2025
Mailing address5464 N Port Washington Rd # C104, Milwaukee, WI 53217-4925

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