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Mind Restoration LLC

Neurodevelopmental Disabilities Physician in Albany, NY · enumerated 2023 · authorized official Latisha Myrie, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1336912732

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Registry record

Entity type Organization (Type 2)
Legal business name Mind Restoration LLC
Practice address 418 Broadway Ste Y, Albany, NY, 12207
Enumeration date Nov 7, 2023
Last updated in NPPES Nov 7, 2023

Taxonomy & classification

2084P0005X Neurodevelopmental Disabilities Physician Allopathic & Osteopathic Physicians Primary
261QM0850X Adult Mental Health Clinic/Center Ambulatory Health Care Facilities Secondary
261QM0855X Adolescent and Children Mental Health Clinic/Center Ambulatory Health Care Facilities Secondary
363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Latisha Myrie
Title Ceo

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.

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Frequently asked questions

What is the NPI number for Mind Restoration LLC?
The NPI for Mind Restoration LLC is 1336912732, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Mind Restoration LLC?
NPPES lists Latisha Myrie (Ceo) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-11-07.