Provider Demographics
NPI:1457077588
Name:RESTORED MINDS
Entity type:Organization
Organization Name:RESTORED MINDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MA, LLPC
Authorized Official - Prefix:DR
Authorized Official - First Name:AVRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:SARGEANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-401-5525
Mailing Address - Street 1:154 E AURORA RD # 103
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44067-2053
Mailing Address - Country:US
Mailing Address - Phone:216-378-2935
Mailing Address - Fax:234-808-4400
Practice Address - Street 1:2000 AUBURN DR STE 200
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-4328
Practice Address - Country:US
Practice Address - Phone:216-401-5525
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-19
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty