Provider Demographics
NPI:1518768522
Name:RESTORE VENTURES
Entity type:Organization
Organization Name:RESTORE VENTURES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF NURSING PRACTICE/PMHNP
Authorized Official - Prefix:
Authorized Official - First Name:OGECHI
Authorized Official - Middle Name:
Authorized Official - Last Name:EKEKE
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, PMHNP, FNP-BC
Authorized Official - Phone:706-580-4017
Mailing Address - Street 1:5001 E FM 1187 STE 290
Mailing Address - Street 2:
Mailing Address - City:BURLESON
Mailing Address - State:TX
Mailing Address - Zip Code:76028-3184
Mailing Address - Country:US
Mailing Address - Phone:706-580-4017
Mailing Address - Fax:
Practice Address - Street 1:5001 E FM 1187 STE 290
Practice Address - Street 2:
Practice Address - City:BURLESON
Practice Address - State:TX
Practice Address - Zip Code:76028-3184
Practice Address - Country:US
Practice Address - Phone:706-580-4017
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health