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General NPI Number Information
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NPI Number | 1831032291
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Entity Type | Organization
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Legal Business Name | RESTORED MINDS COUNSELING GROUP INC.
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Dates
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Enumeration Date | 04/10/2026
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Last Update Date | 04/10/2026
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Provider Practice Location Address
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Address Line | 192 BALLARD CT STE 105
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-6538
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Country | US
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Telephone | 757-597-1909
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Fax | 757-597-1909
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Provider Business Mailing Address
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Address Line | 192 BALLARD CT STE 105
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-6538
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Country | US
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Telephone | 757-597-1909
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Fax | 757-597-1909
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Authorized Official
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Title or Position | CEO/OWNER
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Name | DAVIDA S FALTZ
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Credential | M.ED, M.S, LMHP-R
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Telephone | 757-597-1909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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