Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mindfully Restored, LLC

Organization Counselor · NPI 1013653237

Mindfully Restored, LLC is a Counselor in Glendale, New York. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
8
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7835 74th St Fl 2
Glendale, NY 11385-7427
Phone: (929) 277-7184
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Counselor Taxonomy 101Y00000X
Mental Health Counselor Taxonomy 101YM0800X
Professional Counselor Taxonomy 101YP2500X
School Counselor Taxonomy 101YS0200X
Social Worker Taxonomy 104100000X
School Social Worker Taxonomy 1041S0200X
Marriage & Family Therapist Taxonomy 106H00000X

Record details

NPI number1013653237
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chanelle Spencer — Owner · (929) 277-7184
NPI enumeratedMay 10, 2022
Last updated in NPPESMay 10, 2022
Certification dateMay 10, 2022
Mailing address751 Linden Blvd, Ste A Pmb2051, Brooklyn, NY 11203

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