Restorative Therapy Services, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

RESTORATIVE THERAPY SERVICES, LLC

Practice address

573 Southlake Blvd Ste a
North Chesterfield, VA 23236-3095

Phone

(804) 513-9338

NPI assigned

Aug 4, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Samantha T GrimesNPI 1558836130

Title

Owner

Phone

(804) 513-9338

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samantha Tingen Grimes, LPC

  • Counselor
  • Midlothian, VA
  • NPI 1558836130
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659571200000",
    "number": "1023745601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2631",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231138631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "573 SOUTHLAKE BLVD STE A",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232363095",
            "telephone_number": "804-513-9338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIVE THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-08-04",
        "certification_date": "2022-05-17",
        "status": "A",
        "authorized_official_last_name": "GRIMES",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-513-9338",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Restart LLC
• Restorative Intensive Mental Health Services
• Restorative Transformation Counseling Services, LLC
• Melissa Kathryn Mabel Reterstoff
• Brittany Chesley Reuschling, LCSW
• Cindy G Reuss, RN BSN
• Reynolds Mobile Health LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.