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

Renew Your Mind - Counseling Consulting and Supervision LLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1699278283

Renew Your Mind - Counseling Consulting and Supervision LLC is an Addiction (Substance Use Disorder) Counselor in Hayward, Wisconsin. Licensed in Minnesota. Registered with an NPI since 2018.

Licensed in
MN
In the registry since
2018
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15561 Railroad St Ste 203A
Hayward, WI 54843-5703
Phone: (651) 347-1380
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence CC01151 (MN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 302869 (MN)

Record details

NPI number1699278283
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lesley Boozell — Credential Specialist · (218) 232-0856
NPI enumeratedMarch 9, 2018
Last updated in NPPESMay 16, 2024
Certification dateMay 16, 2024
Mailing address9705n Violet Ln, Hayward, WI 54843-1179

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