P Praxis·MD
● Active Type 2 · Organization

Redefined Mind Center For Change Llc

Clinic/Center·Dacula, GA· NPI 1730943572 · Enumerated 2024 · 2 years on NPI
Redefined Mind Center For Change Llc is 1 of 662 clinic/center organizations in Georgia.
NPI age
2 years
Enumerated 2024-02-12
Primary specialty
Clinic/Center
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Robinson
Licensed Professional Counselor
Last NPPES update
2024-02-12
Source: monthly bulk 2026-05

How this organization compares

Across 662 active clinic/center providers in Georgia.

NPI age
2 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 18% of peers with subspecialties

NPI lifetime · 2024 → 2026

2024-02Enumerated in NPPES
2024 2026

Where they practice

Primary practice location
1039 Victoria Walk Ln
Dacula, GA 300194215
📞 9733807715
Mailing address
1039 Victoria Walk Ln
Dacula, GA 300194215
📞 6789269848

Authorized official

Daja Shanay Robinson, MS, LPC
Licensed Professional Counselor
📞 9733807715

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QM0801X
  • Clinic/Center
    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...
    taxonomy 261QM0855X
  • Clinic/Center
    An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
    taxonomy 261QM0850X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Redefined Mind Counseling
    Type code 3 recorded 2024-02-12

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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