MENTAL WELLNESS RESTORED NPI 1407407125

NPI Information

NPI: 1407407125
Provider Name: MENTAL WELLNESS RESTORED
Classification: Social Worker - 1041C0700X
Specialization: Clinical
Entity Type: Organization
:
Address: 22777 HARPER AVE STE 207
SAINT CLAIR SHORES, MI
ZIP 48080
Phone: (947) 228-0060

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NPI Details

MENTAL WELLNESS RESTORED is a clinical social worker in Saint Clair Shores, MI. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. MENTAL WELLNESS RESTORED NPI is 1407407125. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

22777 HARPER AVE STE 207
SAINT CLAIR SHORES, MI
ZIP 48080-846
Phone: (947) 228-0060

The provider's authorized official is Tashara Cooper .
The authorized official title is Ceo/owner and has the following contact phone number (947) 228-0060.

The enumeration date for this NPI number is 9/24/2019 and was last updated on 9/2/2025.

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	Primary
1	251S00000X	Community/Behavioral Health		No
2	261QC1500X	Clinic/Center	Community Health	No
3	261QC1800X	Clinic/Center	Corporate Health	No
4	261QH0100X	Clinic/Center	Health Service	No
5	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
6	261QS1000X	Clinic/Center	Student Health	No
7	1041C0700X	Social Worker	Clinical	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: 11/21/2025

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