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General NPI Number Information
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NPI Number | 1003764051
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Entity Type | Organization
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Legal Business Name | RESTORATIVE MINDS, LLC
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Dates
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Enumeration Date | 03/17/2026
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Last Update Date | 03/17/2026
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Provider Practice Location Address
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Address Line | 3633 REVERE DR
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City | TOLEDO
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State | OH
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Zip | 43612-1032
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Country | US
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Telephone | 419-280-2467
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Fax |
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Provider Business Mailing Address
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Address Line | 3633 REVERE DR
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City | TOLEDO
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State | OH
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Zip | 43612-1032
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FOUNDER/OWNER
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Name | KYA COLLINS
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Credential | MSW
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Telephone | 419-280-2467
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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