Provider Demographics
NPI:1982283818
Name:RESTFUL MIND, LLC
Entity Type:Organization
Organization Name:RESTFUL MIND, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC MENTAL HEALTH NP
Authorized Official - Prefix:DR
Authorized Official - First Name:AINAT
Authorized Official - Middle Name:
Authorized Official - Last Name:KOREN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, DNP, PMHNP
Authorized Official - Phone:781-591-0663
Mailing Address - Street 1:575 WASHINGTON ST STE 1B
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MA
Mailing Address - Zip Code:02021-3011
Mailing Address - Country:US
Mailing Address - Phone:781-591-0663
Mailing Address - Fax:617-671-0328
Practice Address - Street 1:575 WASHINGTON ST STE 1B
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MA
Practice Address - Zip Code:02021-3011
Practice Address - Country:US
Practice Address - Phone:781-591-0663
Practice Address - Fax:617-671-0328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-07
Last Update Date:2021-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty