NPIMap

Organization Active NPI

Restoring Bodies and Minds, LLC

  • Community/Behavioral Health Agency
  • Henderson, NC
National Provider Identifier
1811320880
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RESTORING BODIES AND MINDS, LLC
Practice address
945 W Andrews Ave Ste F
Henderson, NC 27536-2504
Phone
(252) 572-2392
Fax
(252) 572-2492
NPI assigned
Aug 14, 2013
Organization subpart
Yes
Parent organization
RESTORING BODIES AND MINDS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Miss Patrice Shavone Brown, MA, BA, AAS
Title
Ceo
Phone
(252) 820-0652

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

945 W Andrews Ave Ste F
Henderson, NC 27536-2504

Mailing address

PO Box 101
Townsville, NC 27584-0101
Phone (252) 820-0652

National Provider Directory

National Provider Directory
Tax ID family
Restoring Bodies and Minds LLC2 organizations share this tax ID, including this one
Part of
Restoring Bodies and Minds LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376438400000",
    "number": "1811320880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 101",
            "city": "TOWNSVILLE",
            "state": "NC",
            "postal_code": "275840101",
            "telephone_number": "252-820-0652",
            "fax_number": "252-572-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 W ANDREWS AVE STE F",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362504",
            "telephone_number": "252-572-2392",
            "fax_number": "252-572-2492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORING BODIES AND MINDS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RESTORING BODIES AND MINDS, LLC",
        "enumeration_date": "2013-08-14",
        "last_updated": "2013-08-14",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_middle_name": "SHAVONE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-820-0652",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MA, BA, AAS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.