Provider Demographics
NPI:1396360269
Name:RESTORING MINDS BEHAVIORAL SERVICES LLC
Entity type:Organization
Organization Name:RESTORING MINDS BEHAVIORAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEMI
Authorized Official - Middle Name:
Authorized Official - Last Name:FAWEHINMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-246-1748
Mailing Address - Street 1:PO BOX 183474
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76096-3474
Mailing Address - Country:US
Mailing Address - Phone:682-246-1748
Mailing Address - Fax:855-956-4363
Practice Address - Street 1:2909 E ARKANSAS LN STE C
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76010-6930
Practice Address - Country:US
Practice Address - Phone:214-727-7900
Practice Address - Fax:682-238-0376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-16
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty