RESTORE FX NPI 1467630608

NPI Information

  • NPI: 1467630608
  • Provider Name: RESTORE FX
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Address: 4534 W GATE BLVD
    SUITE 112
    AUSTIN, TX
    ZIP 78745
  • Phone: (512) 439-7360

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NPI Details

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
1103T00000XPsychologist26883TEXASNo
21041C0700XSocial WorkerClinical34223TEXASNo
3225100000XPhysical Therapist1132165TEXASNo
4101YA0400XCounselorAddiction (Substance Use Disorder)F5318TEXASYes

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: 11/21/2025

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