Organization
MIND RESTORATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATISHA MYRIE (CEO)
(833) 294-6969
Entity
Organization
Contact information
Practice address
418 BROADWAY STE Y, ALBANY, NY 12207-2922
(833) 294-6969
Mailing address
418 BROADWAY STE Y, ALBANY, NY 12207-2922
(833) 294-6969
Taxonomy
Speciality
Code
Description
License number
State
2084P0005X
Neurodevelopmental Disabilities Physician
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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