Restoration Transformation

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

RESTORATION TRANSFORMATION

Practice address

235 Pelican PL Unit 3
Destin, FL 32541-7317

Phone

(580) 747-0181

NPI assigned

Jan 27, 2025

Organization subpart

No

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

Authorized official

Name

Michelle Ann UnderwoodNPI 1215059563

Title

Owner

Phone

(580) 747-0181

Specialties & licenses 1

Addresses

Practitioners 1

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

• Michelle Ann Underwood, LMHC, MCAP

  • Mental Health Counselor
  • Destin, FL
  • NPI 1215059563
  NPD Authorized official

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1215749114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10355 PARADISE BLVD APT 704",
            "city": "TREASURE ISLAND",
            "state": "FL",
            "postal_code": "337063132",
            "telephone_number": "580-747-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 PELICAN PL UNIT 3",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325417317",
            "telephone_number": "580-747-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION TRANSFORMATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "UNDERWOOD",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-747-0181"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Destin, FL
• Providers in Destin, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.