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RESTORATION HOPE WELLNESS CENTER LLC NPI 1255049011


NPI Information

NPI: 1255049011
Provider Name: RESTORATION HOPE WELLNESS CENTER LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 44D2270160

Address:
901 MOUNTAIN CREEK RD STE 101
CHATTANOOGA, TN
ZIP 37405
Phone: (678) 992-5482
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RESTORATION HOPE WELLNESS CENTER LLC is a clinic center in Chattanooga, TN. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). RESTORATION HOPE WELLNESS CENTER LLC NPI is 1255049011. The provider is registered as an organization entity type.

The provider's business location address is:

901 MOUNTAIN CREEK RD STE 101
CHATTANOOGA, TN
ZIP 37405-645
Phone: (678) 992-5482

The provider's authorized official is Kaitlin Harden .
The authorized official title is Ceo and has the following contact phone number (770) 309-9417.

The CLIA number assigned to this NPI record is 44D2270160 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/10/2022 and was last updated on 11/10/2022.


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
1251S00000XCommunity/Behavioral HealthNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
3261QM0850XClinic/CenterAdult Mental HealthNo
4261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
5261QM1300XClinic/CenterMulti-SpecialtyNo
6261QM2500XClinic/CenterMedical SpecialtyNo
7261Q00000XClinic/CenterYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.