Mindfully Restored, Llc

LBN: Mindfully Restored, Llc
Mindfully Restored, Llc is an health care organization with primary practice located at 7835 74Th St Fl 2 , Glendale NY 11385-7427. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Mindfully Restored, Llc can be contacted via phone (929) 277-7184, or through Spencer, Chanelle via phone (929) 277-7184.

Contact Information

Primary practice address
7835 74Th St Fl 2 Glendale NY 11385-7427
Phone: (929) 277-7184
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Spencer, Chanelle Licensed Clinical Social Worker (LCSW)
Phone: (929) 277-7184

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / School 101YS0200X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / School 1041S0200X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1013653237
LBN Legal business name Mindfully Restored, Llc
DBA Doing business as
Authorized official Spencer, Chanelle Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2022
Last updated May 10th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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