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

Restore 360 LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1790350015

Restore 360 LLC is a Psychiatric/Mental Health Nurse Practitioner in Philadelphia, Pennsylvania. Registered with an NPI since 2021.

In the registry since
2021
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

7516 City Ave Ste 7&8
Philadelphia, PA 19151-2102
Phone: (484) 373-2710
Fax: (484) 373-2710
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1790350015
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Oluwaseyi Effraim — Executive Director · (484) 373-2710
NPI enumeratedMay 20, 2021
Last updated in NPPESJanuary 9, 2024
Certification dateJanuary 9, 2024
Mailing address600 Stetson Rd, Elkins Park, PA 19027-2525

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