RESTORATION WELLNESS LLC NPI 1063050110

NPI Information

NPI: 1063050110
Provider Name: RESTORATION WELLNESS, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
14502 N DALE MABRY HWY STE 200
TAMPA, FL
ZIP 33618
Phone: (813) 419-2082
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RESTORATION WELLNESS, LLC is a mental health counselor in Tampa, FL. RESTORATION WELLNESS, LLC NPI is 1063050110. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14502 N DALE MABRY HWY STE 200
TAMPA, FL
ZIP 33618-040
Phone: (813) 419-2082

The provider's authorized official is Adaliz Maria Garces .
The authorized official title is President and has the following contact phone number (813) 419-2082.

The enumeration date for this NPI number is 12/18/2019 and was last updated on 5/12/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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