Provider Demographics
NPI:1780061945
Name:RESTORING MINDS COUNSELING SERVICE
Entity type:Organization
Organization Name:RESTORING MINDS COUNSELING SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-733-1821
Mailing Address - Street 1:5201 BLUE LAGOON DR
Mailing Address - Street 2:8TH FLOOR
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-2064
Mailing Address - Country:US
Mailing Address - Phone:305-733-1821
Mailing Address - Fax:
Practice Address - Street 1:5201 BLUE LAGOON DR
Practice Address - Street 2:8TH FLOOR
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-2064
Practice Address - Country:US
Practice Address - Phone:305-733-1821
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-27
Last Update Date:2015-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 85181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty