Restoration for Life

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

RESTORATION FOR LIFE

Practice address

2301 W Meadowview Rd Ste 110
Greensboro, NC 27407-3704

Phone

(336) 895-6128

NPI assigned

Sep 10, 2014

Organization subpart

No

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

Authorized official

Name

Latameria Donta McNair, EVANGELIST

Title

Ceo

Phone

(336) 895-6128

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1639570567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 W MEADOWVIEW RD STE 110",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274073704",
            "telephone_number": "336-895-6128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 W MEADOWVIEW RD STE 110",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274073704",
            "telephone_number": "336-895-6128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION FOR LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-10",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "MCNAIR",
        "authorized_official_first_name": "LATAMERIA",
        "authorized_official_middle_name": "DONTA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-895-6128",
        "authorized_official_credential": "EVANGELIST"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; 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.