Heal and Restore, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

HEAL AND RESTORE, PLLC

Practice address

2270 Nash St N
Wilson, NC 27896-1729

Phone

(252) 696-4091

Fax

(929) 290-0328

NPI assigned

Jun 2, 2022

Organization subpart

No

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

Authorized official

Name

Annette Thomas, LCSW

Title

Owner/Director

Phone

(252) 315-4421

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1033858477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2270 NASH ST N",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278961729",
            "telephone_number": "252-696-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 NASH ST N",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278961729",
            "telephone_number": "252-696-4091",
            "fax_number": "929-290-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAL AND RESTORE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-02",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "252-315-4421",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.