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Mind Restoration Llc
Psychiatric/Mental Health Nurse Practitioner in Albany, New York
NPI 1336912732

Mind Restoration Llc is a Psychiatric/Mental Health Nurse Practitioner based in Albany, NY and is specialized in Psychiatric/Mental Health. Mind Restoration Llc practices in Albany, NY. The NPI Number for Mind Restoration Llc is 1336912732 and holds a License No. (New York).

The current practice location address for Mind Restoration Llc is 418 Broadway Ste Y, Albany, NY and can be reached out via phone at 833-294-6969. You can also correspond with Mind Restoration Llc through the mailing address at 418 BROADWAY STE Y, ALBANY, NY - 12207-2922 (mailing address contact number: 833-294-6969).

Location: 418 Broadway Ste Y, Albany, NY, 12207-2922
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336912732
Provider Name
Mind Restoration Llc
Credential
Provider Entity Type
Organization
Address
418 Broadway Ste Y, Albany, NY, 12207-2922
Phone Number
833-294-6969
Fax Number
Provider Enumeration Date
11/07/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
418 Broadway Ste Y
City
Albany
State
New York
Zip
12207-2922
Phone Number
833-294-6969
Fax Number
person
Provider Business Mailing Address Details
Address
418 Broadway Ste Y
City
Albany
State
New York
Zip
12207-2922
Phone Number
833-294-6969
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurodevelopmental Disabilities
Taxonomy
2084P0005X
License No.
()
Definition
A pediatrician or neurologist who specializes in the diagnosis and management of chronic conditions that affect the developing and mature nervous system such as cerebral palsy, mental retardation and chronic behavioral syndromes, or neurologic conditions.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
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 members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
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