Restorative Psychotherapy & Wellness LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Nashville, TN. Organization (NPI-2).
NPI number1669065645
StatusActive
Last updated in NPPESFeb 19, 2021
Details
- NPI
- 1669065645
- Entity type
- Organization (NPI-2)
- Legal business name
- Restorative Psychotherapy & Wellness LLC
- Organization subpart
- Yes
- Enumeration date
- Feb 19, 2021
- Certification date
- Feb 19, 2021
- Last updated
- Feb 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 1041C0700X | Social Worker, Clinical | – | – |
Practice location
4235 Hillsboro Pike Ste 300Nashville, TN 37215-3344
Phone 757-568-5582 · Fax 757-578-8237
Mailing address
2301 Beach Haven Dr Apt 104Virginia Beach, VA 23451-1255
Phone 615-506-8362 · Fax 757-578-8237
Authorized official
Netsanet Abraha Tegegn
Owner
7575685582
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