Restoration Behavioral Health of Muskogee, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

RESTORATION BEHAVIORAL HEALTH OF MUSKOGEE, LLC

Doing business as

Restoration Behavioral Health

Practice address

315 N 4TH St
Muskogee, OK 74401-6312

Phone

(918) 360-5030

NPI assigned

Dec 15, 2020

Organization subpart

No

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

Authorized official

Name

Chelsea Brown, M.S., LPC-S

Title

Director

Phone

(918) 360-5030

Specialties & licenses 1

Addresses

Other names 1

• Restoration Behavioral Health Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alicia Danielle Woodrum

  • Professional Counselor
  • Muskogee, OK
  • NPI 1174947063

  Single Specialty

  NPD

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1255927182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N 4TH ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744016312",
            "telephone_number": "449-185-3720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N 4TH ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744016312",
            "telephone_number": "918-360-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION BEHAVIORAL HEALTH OF MUSKOGEE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-15",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "918-360-5030",
        "authorized_official_credential": "M.S., LPC-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restoration Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Restoration Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rehabcare Group, Inc.
• Rehabilitation Associates of Muskogee
• Gabriel Brook Reiland
• Amy Rember, RN
• Lisa Brooke Renfrow, APRN
• Retonya J. Walters
• Richard A. Reutlinger, M.D.
• Christina Nicole Reynolds, RN
• Tammi Reynolds, 3747A0650X
• Brandy Rhodes, LPN

• Mental Health Counselor in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.