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RESTORED ROOTS COUNSELING & WELLNESS NPI 1922695758


NPI Information

NPI: 1922695758
Provider Name: RESTORED ROOTS COUNSELING & WELLNESS
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
4938 STATE ROUTE 111
ANTWERP, OH
ZIP 45813
Phone: (419) 605-8722
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RESTORED ROOTS COUNSELING & WELLNESS is a clinical social worker in Antwerp, OH. 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. RESTORED ROOTS COUNSELING & WELLNESS NPI is 1922695758. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4938 STATE ROUTE 111
ANTWERP, OH
ZIP 45813-724
Phone: (419) 605-8722

The provider's authorized official is Kayla Gladieux .
The authorized official title is Owner/clinician and has the following contact phone number (419) 605-8722.

The enumeration date for this NPI number is 12/28/2020 and was last updated on 12/28/2020.


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
11041C0700XSocial WorkerClinicalYes
2106H00000XMarriage & Family TherapistNo

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

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