Restorative Psychotherapy & Wellness LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

RESTORATIVE PSYCHOTHERAPY & WELLNESS LLC

Practice address

4235 Hillsboro Pike Ste 300
Nashville, TN 37215-3344

Phone

(757) 568-5582

Fax

(757) 578-8237

NPI assigned

Feb 19, 2021

Organization subpart

Yes

Parent organization

1801452958As reported in NPPES

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

Authorized official

Name

Netsanet Abraha TegegnNPI 1578890307

Title

Owner

Phone

(757) 568-5582

Specialties & licenses 3

Addresses

Tax ID family

Restorative Psychotherapy Wellness LLC2 organizations share this tax ID, including this one

Part of

Restorative Psychotherapy Wellness LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Restorative Psychotherapy & Wellness LLC

  • Social Worker
  • Virginia Beach, VA
  • NPI 1801452958
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Netsanet Abraha Tegegn, LCSW

  • Clinical Social Worker
  • Nashville, TN
  • NPI 1578890307
  NPD Authorized official

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613692800000",
    "number": "1669065645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 BEACH HAVEN DR APT 104",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234511255",
            "telephone_number": "615-506-8362",
            "fax_number": "757-578-8237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4235 HILLSBORO PIKE STE 300",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372153344",
            "telephone_number": "757-568-5582",
            "fax_number": "757-578-8237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIVE PSYCHOTHERAPY & WELLNESS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "1801452958",
        "enumeration_date": "2021-02-19",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A",
        "authorized_official_last_name": "TEGEGN",
        "authorized_official_first_name": "NETSANET",
        "authorized_official_middle_name": "ABRAHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-568-5582"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "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": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shalonda Respress
• Restoration Dermatology PLC
• Restoration Hearing LLC
• Restorative Health Services, Inc.
• Restorative Manner Home LLC
• Restore Psychiatric Care, LLC
• Results Behavior, LLC
• Results Laboratories LLC
• Results-Ast JV, LLC
• Results-Ast JV, LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Nashville, TN
• Providers in Nashville, TN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.