Restore Behavioral Health, Pllc

LBN: Restore Behavioral Health, Pllc
Restore Behavioral Health, Pllc is an health care organization with primary practice located at 147 W Sunset Rd Suite 200, San Antonio TX 78209-2632. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Health Service, Technologists, Technicians & Other Technical Service Providers / EEG, Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Restore Behavioral Health, Pllc can be contacted via phone (210) 858-1900, or through Down, Melinda M via phone (210) 858-1900.

Contact Information

Primary practice address
147 W Sunset Rd Suite 200 San Antonio TX 78209-2632
Phone: (210) 858-1900
Fax: (210) 745-4525
Website:
Map and Directions
Authorized official contact:
Name: Down, Melinda M PH.D.
Phone: (210) 858-1900

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 2-5100 Texas
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 2-5100 Texas
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2-5100 Texas
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 2-5100 Texas
Behavioral Health & Social Service Providers / Health Service 103TH0100X 2-5100 Texas
Technologists, Technicians & Other Technical Service Providers / EEG 246ZE0500X 2-5100 Texas
Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic 246ZE0600X 2-5100 Texas

Profile Details

NPI number 1083856587
LBN Legal business name Restore Behavioral Health, Pllc
DBA Doing business as
Authorized official Down, Melinda M PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 30th, 2009
Last updated Jul 9th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083856587 NPPES
Texas MEDICAID 202729401

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