Total Restoration Mind Body Soul Spirit Inc

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

Legal business name

TOTAL RESTORATION MIND BODY SOUL SPIRIT INC

Practice address

4160 N Sherman Blvd
Milwaukee, WI 53216-1517

Phone

(214) 900-6366

NPI assigned

Jan 22, 2026

Organization subpart

No

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

Authorized official

Name

Ms. Vickie G Kennedy, KENNEDY

Title

Founder / Ceo

Phone

(214) 900-6366

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1769040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769040000000",
    "number": "1649129743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 N SHERMAN BLVD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532161517",
            "telephone_number": "214-900-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 N SHERMAN BLVD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532161517",
            "telephone_number": "214-900-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL RESTORATION MIND BODY SOUL SPIRIT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-22",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "FOUNDER / CEO",
        "authorized_official_telephone_number": "214-900-6366",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "KENNEDY"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.