NPIMap

Organization Active NPI

Revived and Restored Health, LLC

  • Health & Wellness Coach
  • Morrow, GA
National Provider Identifier
1841978699
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Legal business name
REVIVED AND RESTORED HEALTH, LLC
Practice address
6651 Cameron Rd
Morrow, GA 30260-2607
Phone
(770) 329-9833
NPI assigned
Jul 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Authorized official

Name
Ms. Stephannie MartinNPI 1336917616
Title
Holistic Health Coach
Phone
(770) 329-9833

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness CoachGroup: 193200000X MULTI-SPECIALTY GROUP 171400000X Primary

Addresses

Primary practice location

6651 Cameron Rd
Morrow, GA 30260-2607

Mailing address

6651 Cameron Rd
Morrow, GA 30260-2607
Phone (770) 329-9833

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1841978699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6651 CAMERON RD",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302602607",
            "telephone_number": "770-329-9833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6651 CAMERON RD",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302602607",
            "telephone_number": "770-329-9833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVED AND RESTORED HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "STEPHANNIE",
        "authorized_official_title_or_position": "HOLISTIC HEALTH COACH",
        "authorized_official_telephone_number": "770-329-9833",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrow, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.