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Contact Information

RESTORATIVE MENTAL WELLNESS CENTER
14754 FENKELL ST
DETROIT, MI48227-2941
 Phone: 248-579-5560
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Community/Behavioral Health

251S00000X
 

Mental Health

101YM0800X
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
 

Student Health

261QS1000X
Indicates primary specialty

NPI Profile & details for RESTORATIVE MENTAL WELLNESS CENTER

NPI # 1639900822
LBN Legal business name RESTORATIVE MENTAL WELLNESS CENTER
Authorized official TASHARA COOPER - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/09/2024
Last updated 06/12/2025 - About 12 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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