The Restoration Village: Therapeutic and Holistic Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

THE RESTORATION VILLAGE: THERAPEUTIC AND HOLISTIC SERVICES

Practice address

3050 Old Orchard Dr
Waterford, MI 48328-3650

Phone

(248) 842-2310

NPI assigned

Jan 17, 2019

Last updated

Aug 30, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stacey Marie Williams, LPC, DP-CNPI 1609175751

Title

Ceo

Phone

(248) 842-2310

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stacey Marie Williams, LPC

  • Professional Counselor
  • Waterford, MI
  • NPI 1609175751
  NPD Authorized official

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1679047039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 OLD ORCHARD DR",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483283650",
            "telephone_number": "248-842-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 OLD ORCHARD DR",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483283650",
            "telephone_number": "248-842-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RESTORATION VILLAGE: THERAPEUTIC AND HOLISTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-17",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-842-2310",
        "authorized_official_credential": "LPC, DP-C"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carole Ann Tennis
• Thabet Abbarah MD ENT PC
• Steven Tharrett, PT
• Jennifer Lynn Thayer, LLMSW
• The Couch Counseling Services, PLLC
• The Therapy Hub Consulting, PLLC
• The Waterford Partners Center, LLC
• Therapy Consultants,P.C. (Fyzical Therapy & Balance Center)
• Hanadi Lee Thomas
• John L Thomas Jr., CAC1

• Mental Health Counselor in Waterford, MI
• Providers in Waterford, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.