Connect and Restore Therapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CONNECT AND RESTORE THERAPY, LLC

Practice address

10306 Nolan Dr
Tyler, TX 75709-4512

Phone

(903) 200-9540

NPI assigned

May 12, 2025

Last updated

May 12, 2025By 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

Stacy Huddleston, LCSWNPI 1255121356

Title

Owner

Phone

(903) 200-9540

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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.

• Stacy Huddleston, LCSW

  • Clinical Social Worker
  • Tyler, TX
  • NPI 1255121356
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1699565721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10306 NOLAN DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757094512",
            "telephone_number": "903-200-9540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10306 NOLAN DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757094512",
            "telephone_number": "903-200-9540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECT AND RESTORE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "HUDDLESTON",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-200-9540",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Confidence Healthcare Services ,Inc.
• Joseph Michael Conflitti, MD
• Taylor Conkel, BSN, RNC-MNN, IBCLC
• Julie H Conley, RNFA
• Amanda Connally
• Connections Clinical Care, PLLC
• Connections of Hope
• William Chace Conner, M.D.
• Shana Jean Conover, L.P.C.
• Continuecare Hospital of Tyler, Inc. (Tyler ContinueCARE Hospital at Mother Frances Hospital)

• Clinical Social Worker in Tyler, TX
• Providers in Tyler, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.