Restoration Therapy With Falaya Desilva LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

RESTORATION THERAPY WITH FALAYA DESILVA LLC

Practice address

3938 E Cherokee St
Phoenix, AZ 85044-3827

Phone

(562) 676-3502

NPI assigned

Oct 19, 2021

Organization subpart

No

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

Authorized official

Name

Falaya Desilva, LMFT

Title

Ceo

Phone

(562) 676-3502

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1679236376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3938 E CHEROKEE ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850443827",
            "telephone_number": "562-676-3502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3938 E CHEROKEE ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850443827",
            "telephone_number": "562-676-3502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 E Florence Ave",
            "address_purpose": "LOCATION",
            "city": "Inglewood",
            "state": "CA",
            "postal_code": "903011300",
            "country_code": "US",
            "telephone_number": "562-676-3502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RESTORATION THERAPY WITH FALAYA DESILVA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-19",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "DESILVA",
        "authorized_official_first_name": "FALAYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-676-3502",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Elizabeth Resseguie, LCSW
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• Restassured RX
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• Restorative Care of Arizona, P.C.
• Restore Functional Restoration, LLC
• Restore Vitality Center
• Restoring Health Outpatient Clinic, Inc.
• Adrian G Retamoza, D.C.

• Adult Mental Health Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Adult Mental Health Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.