Mindfully Restored, LLC
Mindfully Restored, LLC is a healthcare organization registered as Clinical Social Worker in Glendale, NY, holding Type 2 (organization) NPI 1013653237 since 2022. The authorized official on file is Chanelle Spencer, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1013653237 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Mindfully Restored, LLC |
| Practice address | 7835 74TH ST FL 2, Glendale, NY, 11385 |
| Phone | 9292777184 |
| Enumeration date | 2022-05-10 |
| Last updated in NPPES | 2022-05-10 |
Authorized official
| Name | Chanelle Spencer |
|---|---|
| Title | Owner |
| Phone | 9292777184 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 101Y00000X | Counselor | Secondary | — | — |
| 101YM0800X | Mental Health Counselor | Secondary | — | — |
| 101YP2500X | Professional Counselor | Secondary | — | — |
| 101YS0200X | School Counselor | Secondary | — | — |
| 104100000X | Social Worker | Secondary | — | — |
| 1041S0200X | School Social Worker | Secondary | — | — |
| 106H00000X | Marriage & Family Therapist | Secondary | — | — |
| 1041C0700X | Clinical Social Worker | Primary | — | — |
Copy-ready billing details
Provider: Mindfully Restored, LLC NPI: 1013653237 Taxonomy: 1041C0700X (Clinical Social Worker) Address: 7835 74TH ST FL 2, Glendale, NY, 11385
Verify this record
Cross-check NPI 1013653237 against the authoritative CMS record: view Mindfully Restored, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Mindfully Restored, LLC?
What is the NPI number for Mindfully Restored, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2022-05-10.