# RESTFUL MIND MENTAL HEALTH PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003544123
- **Authorized official:** DMITRY TVERSKOY APRN (OWNER)
- **Authorized official phone:** (908) 548-3600

## Contact information

- **Practice address:** 522 W RIVERSIDE AVE STE 4830, SPOKANE, WA 99201-0580
- **Practice address phone:** (908) 548-3600
- **Mailing address:** 5130 TRUMPET VINE WAY, WILMINGTON, NC 28412-6263
- **Mailing address phone:** (908) 548-3600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/09/2022
- **Last updated:** 08/22/2022