Wellness Entreated & Restored LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

WELLNESS ENTREATED & RESTORED LLC

Practice address

1013 Beards Hill Rd Ste 101M-122
Aberdeen, MD 21001-2293

Phone

(718) 236-0774

Fax

(410) 272-4750

NPI assigned

Jul 27, 2026

Organization subpart

No

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

Authorized official

Name

Mrs. Kimara Rosita Runcie, LMHC, LCPC

Title

Owner/Provider

Phone

(347) 656-0174

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1785110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1578485157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 BEARDS HILL RD STE 101-M122",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210012293",
            "telephone_number": "718-236-0774",
            "fax_number": "410-272-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 BEARDS HILL RD STE 101M-122",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210012293",
            "telephone_number": "718-236-0774",
            "fax_number": "410-272-4750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "337 E 28th St Lowr Level",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112267105",
            "country_code": "US",
            "telephone_number": "718-236-0774",
            "fax_number": "410-272-4750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELLNESS ENTREATED & RESTORED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-27",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A",
        "authorized_official_last_name": "RUNCIE",
        "authorized_official_first_name": "KIMARA",
        "authorized_official_middle_name": "ROSITA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "347-656-0174",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Aberdeen, MD
• Providers in Aberdeen, MD by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.