RESTORE FX NPI 1467630608

NPI Information

NPI: 1467630608
Provider Name: RESTORE FX
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
4534 W GATE BLVD
SUITE 112
AUSTIN, TX
ZIP 78745
Phone: (512) 439-7360
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RESTORE FX is an addiction (substance use disorder) counselor in Austin, TX. RESTORE FX NPI is 1467630608. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4534 W GATE BLVD
SUITE 112
AUSTIN, TX
ZIP 78745-485
Phone: (512) 439-7360

The provider's authorized official is Tykeisha P. Sims .
The authorized official title is Administrator and has the following contact phone number (512) 334-2149.

The enumeration date for this NPI number is 2/8/2008 and was last updated on 10/22/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103T00000X	Psychologist		26883	TEXAS	No
2	1041C0700X	Social Worker	Clinical	34223	TEXAS	No
3	225100000X	Physical Therapist		1132165	TEXAS	No
4	101YA0400X	Counselor	Addiction (Substance Use Disorder)	F5318	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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