Restoring Dreams Therapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

RESTORING DREAMS THERAPY, LLC

Practice address

3575 Burton St SE # Tau2
Grand Rapids, MI 49546-7681

Phone

(616) 710-1014

NPI assigned

Aug 11, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Laverna N King-Brown, LLMSWNPI 1124698014

Title

Owner/ Clinical Therapist

Phone

(616) 710-1014

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.

• Laverna Nicole King-Brown, LLMSW

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1124698014
  NPD Authorized official

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1548935604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 LAKE DR SE UNIT 68426",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495165058",
            "telephone_number": "616-710-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 BURTON ST SE # TAU2",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467681",
            "telephone_number": "616-710-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORING DREAMS THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-11",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "KING-BROWN",
        "authorized_official_first_name": "LAVERNA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER/ CLINICAL THERAPIST",
        "authorized_official_telephone_number": "616-710-1014",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LLMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, 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 Aug 11, 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.