Healthcare Provider Details

I. General information

NPI: 1447172655
Provider Name (Legal Business Name): RESTORING MINDS BEHAVIORAL HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1105 N POINT BLVD STE 310
BALTIMORE MD
21224-3472
US

IV. Provider business mailing address

1105 N POINT BLVD STE 310
BALTIMORE MD
21224-3472
US

V. Phone/Fax

Practice location:
  • Phone: 443-943-0007
  • Fax: 443-943-0027
Mailing address:
  • Phone: 443-943-0007
  • Fax: 443-943-0027

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: NICOLE LATASHA SHELL
Title or Position: PROVIDER/OWNER
Credential: CRNP-PMH, PMHNP-BC
Phone: 410-800-6186