Mental Wellness Restored

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MENTAL WELLNESS RESTORED

Practice address

22777 Harper Ave Ste 207
Saint Clair Shores, MI 48080-1846

Phone

(947) 228-0060

NPI assigned

Sep 24, 2019

Organization subpart

No

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

Authorized official

Name

Tashara Cooper

Title

Ceo/Owner

Phone

(947) 228-0060

Specialties & licenses 7

Addresses

Other names 1

• Mental Wellness Restored Doing business as

Locations

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1407407125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22777 HARPER AVE",
            "address_2": "SUITE 207, PMB 2030",
            "city": "ST. CLAIR SHORES",
            "state": "MI",
            "postal_code": "48080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22777 HARPER AVE STE 207",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801846",
            "telephone_number": "947-228-0060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30550 Gratiot Ave Unit 77",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "MI",
            "postal_code": "480666704",
            "country_code": "US",
            "telephone_number": "248-579-5560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MENTAL WELLNESS RESTORED",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-24",
        "last_updated": "2025-09-02",
        "certification_date": "2025-05-26",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "TASHARA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "947-228-0060"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mental Wellness Restored",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ahmed Abdel Meguid, MD
• Aston Mehr
• Kenneth J Meisel, LMSW
• Maria Amelia Menozzi, LMFT, CAADC
• Mental Mix Therapy PLLC
• Barry Allem Mentzel, D.D.S.
• Jose A Mercado-Francis, MD
• Kimberly Merkle
• Demetrios Mermiges, M.D.
• Jamie Megan Merrick, OTRL

• Clinical Social Worker in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.