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Contact Information

MENTAL WELLNESS RESTORED
22777 HARPER AVE STE 207
SAINT CLAIR SHORES, MI48080-1846
 Phone: 947-228-0060
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Community Health

261QC1500X
 

Community/Behavioral Health

251S00000X
 

Corporate Health

261QC1800X
 

Health Service

261QH0100X
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
 

Student Health

261QS1000X
Indicates primary specialty

NPI Profile & details for MENTAL WELLNESS RESTORED

NPI Number 1407407125
LBN Legal business name MENTAL WELLNESS RESTORED
Authorized official TASHARA COOPER - (CEO/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/24/2019
Last updated 09/02/2025 - About 9 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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