MEDICARE: RESTORATIVE MINDS, LLC

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1003764051
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESTORATIVE MINDS, LLC

Provider Business Mailing Address
First Line	:	3633 REVERE DR
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43612-1032
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3633 REVERE DR
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43612-1032
Country	:	US
Telephone Number	:	419-280-2467
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER/OWNER
Name	:	KYA COLLINS
Credential	:	MSW
Telephone Number	:	419-280-2467

Provider Enumeration Date	:	03/17/2026
Last Update Date	:	03/17/2026

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