Restorative Psychotherapy & Wellness LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

RESTORATIVE PSYCHOTHERAPY & WELLNESS LLC

Practice address

3630 S Plaza TRL Ste 150a
Virginia Beach, VA 23452-3371

Phone

(757) 568-5582

NPI assigned

May 14, 2019

Last updated

May 14, 2019By 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

Cheryl Tant

Title

Credentialing Coordinator

Phone

(757) 650-4256

Specialties & licenses 1

Addresses

Tax ID family

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

Other organizations with this tax ID 1

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

• Restorative Psychotherapy & Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Nashville, TN
  • NPI 1669065645
  NPD tax ID

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.

• Netsanet Abraha Tegegn, LCSW

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

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557792000000",
    "number": "1801452958",
    "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": "757-568-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 S PLAZA TRL STE 150A",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234523371",
            "telephone_number": "757-568-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIVE PSYCHOTHERAPY & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-14",
        "last_updated": "2019-05-14",
        "status": "A",
        "authorized_official_last_name": "TANT",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "757-650-4256"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Resource Guidance Services Inc
• Resourceful Blossoming and Counseling Services, LLC
• Restoration & Rejuvenation Wellness Center
• Restoration Behavioral Health Services
• Restorative Mental Health LLC
• Restorative Therapy Company LLC
• Restore Counseling & Wellness, LLC
• Restored Minds Counseling Group Inc.
• Restoring Waters Counseling LLC
• Retro Medical LLC

• Social Worker in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.