Restore Psychotherapy and Yoga
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Elmwood Park, WI
NPI 1780185280 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1780185280
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- License
- 180009102 (IL)
- Legal business name
- RESTORE PSYCHOTHERAPY AND YOGA
- Practice address
- 3131 Taylor Ave
Elmwood Park, WI 53405-4524 - Phone
- (312) 608-0097
- NPI assigned
- Feb 21, 2018
- Organization subpart
- No
Authorized official
- Name
- Stephanie Mazzanti, LCPC, E-RYT
- Title
- Psychotherapist/Owner
- Phone
- (312) 608-0097
National Provider Directory
Locations
3131 Taylor Ave
Elmwood Park, WI 53405
Phone (262) 818-3531
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 180009102 | IL | Yes |
Addresses
Primary practice location
3131 Taylor Ave
Elmwood Park, WI 53405-4524
Mailing address
4123 Meachem Rd
Mount Pleasant, WI 53403-3912
Phone (312) 608-0097
Other practice location 1
3633 W Lake Ave Ste 404
Glenview, IL 60026-5801
Phone (312) 608-0097
Other names
- Stephanie Mazzanti
Other providers in Elmwood Park, WI
- Rebecca Jeanette Hoye
- Paruszkiewicz Counseling LLC
- Amber Kay Perkins
- Sarah Pettit
- Restore Behavioral Health
- Wisconsin CVS Pharmacy, L.L.C.
- Karlie Marie Zahn
All providers in Elmwood Park, WI · Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.