Healthcare Provider Details

I. General information

NPI: 1235056730
Provider Name (Legal Business Name): HOPE RESTORED BEHAVIORAL HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2026
Last Update Date: 07/04/2026
Certification Date: 07/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 VISTA PKWY STE 291
WEST PALM BEACH FL
33411-2706
US

IV. Provider business mailing address

3066 BOLLARD RD
WEST PALM BEACH FL
33411-6422
US

V. Phone/Fax

Practice location:
  • Phone: 954-818-4506
  • Fax: 856-329-8719
Mailing address:
  • Phone: 954-818-4506
  • Fax: 856-329-8719

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. URSULA AVILUS
Title or Position: OWNER
Credential: APRN
Phone: 954-818-4506