MEDICARE: RESTORA INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1942153002
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESTORA INC

Provider Business Mailing Address
First Line	:	5625 WOODROW BEAN STE 105
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79924-4143
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5625 WOODROW BEAN STE 105
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79924-4143
Country	:	US
Telephone Number	:	915-777-7199
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	LIZETTE MUNOZ
Credential	:	LPC
Telephone Number	:	915-777-7199

Provider Enumeration Date	:	02/18/2026
Last Update Date	:	02/18/2026

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Directions to “RESTORA INC ” Practice Location

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