Organization
MENTAL RESTORATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHAKEEMA REID MS (CEO-OWNER)
(678) 508-2171
Entity
Organization
Contact information
Practice address
113 FOLEY ST SE, PALM BAY, FL 32909-8218
(678) 508-2171
Mailing address
113 FOLEY ST SE, PALM BAY, FL 32909-8218
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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