MENTAL RESTORATION INSTITUTE NPI 1699822296

NPI Information

NPI: 1699822296
Provider Name: MENTAL RESTORATION INSTITUTE
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
300 W ARIZONA AVE
STE. B.
RUSTON, LA
ZIP 71270
Phone: (318) 251-1233
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MENTAL RESTORATION INSTITUTE is a psychiatric/mental health nurse practitioner in Ruston, LA. MENTAL RESTORATION INSTITUTE NPI is 1699822296. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

300 W ARIZONA AVE
STE. B.
RUSTON, LA
ZIP 71270-306
Phone: (318) 251-1233
Fax: (318) 254-5023

The provider's authorized official is Gloria Denise Mays .
The authorized official title is Nurse Practitioner and has the following contact phone number (318) 251-1233.

The enumeration date for this NPI number is 1/4/2007 and was last updated on 8/22/2020.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health		LOUISIANA	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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