The Rest Room Therapies LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THE REST ROOM THERAPIES LLC

Practice address

1105 W Jackson St
Tupelo, MS 38804-2515

Phone

(662) 213-8479

NPI assigned

Dec 9, 2021

Last updated

Dec 9, 2021By 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

Ms. Susan Ellen Hill, LCSWNPI 1750048997

Title

Owner Therapist

Phone

(662) 213-8479

Specialties & licenses 1

Addresses

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.

• Susan Hill, LCSW

  • Clinical Social Worker
  • Tupelo, MS
  • NPI 1750048997
  NPD Authorized official

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639008000000",
    "number": "1952060774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 W JACKSON ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388042515",
            "telephone_number": "662-213-8479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 W JACKSON ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388042515",
            "telephone_number": "662-213-8479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE REST ROOM THERAPIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-09",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER THERAPIST",
        "authorized_official_telephone_number": "662-213-8479",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.