Provider Demographics
NPI:1184502577
Name:RESTORATIVE PSYCHIATRIC SERVICES, LLC
Entity type:Organization
Organization Name:RESTORATIVE PSYCHIATRIC SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TRAVIS
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:LITZ
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, PMHNP-BC
Authorized Official - Phone:786-472-3829
Mailing Address - Street 1:705 NE 14TH PL UNIT B
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33304-1122
Mailing Address - Country:US
Mailing Address - Phone:305-699-7309
Mailing Address - Fax:
Practice Address - Street 1:705 NE 14TH PL UNIT B
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33304-1122
Practice Address - Country:US
Practice Address - Phone:786-472-3829
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty