Refuge and Restore PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

REFUGE AND RESTORE PLLC

Practice address

4943 Old Greenwood Rd Ste 9
Fort Smith, AR 72903-6923

Phone

(479) 353-0016

NPI assigned

Nov 17, 2021

Organization subpart

No

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

Authorized official

Name

Deanna Vitale, LCSW

Title

Authorized Official, Sole Owner

Phone

(479) 353-0016

Specialties & licenses 2

Addresses

Other names 1

• The Refuge Doing business as

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643414400000",
    "number": "1982361671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2908 RIVERBEND DR",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035325",
            "telephone_number": "379-353-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4943 OLD GREENWOOD RD STE 9",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729036923",
            "telephone_number": "479-353-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFUGE AND RESTORE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-17",
        "last_updated": "2022-01-29",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "VITALE",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_title_or_position": "AUTHORIZED  OFFICIAL, SOLE OWNER",
        "authorized_official_telephone_number": "479-353-0016",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Refuge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Larissa K Reed
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• Brent Samuel Reeves, D.O.
• Dana Leigh Reeves, CNP
• Regional Dental Center Inc
• Micah Rego
• Megan Reid, BA, CIT, RDS
• Nicole Reid, APN
• Rebecca Lynn Reif, MED, CCC-SLP

• Clinical Social Worker in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2022; 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.