A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master?s degree and clinical experience and supervision for licensure or certification.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Counselor |
101Y00000X | |||
Case Management |
251B00000X | |||
Case Manager/Care Coordinator |
171M00000X | |||
Community/Behavioral Health |
251S00000X | |||
Day Training, Developmentally Disabled Services |
251C00000X | |||
Developmental Disabilities |
261QD1600X | |||
Early Intervention Provider Agency |
252Y00000X | |||
Environmental Modification |
224ZE0001X | |||
In Home Supportive Care |
253Z00000X | |||
Occupational Medicine |
261QX0100X | |||
Pediatrics |
208000000X | 37 | Physician/Pediatric Medicine | |
Physical Therapy |
261QP2000X | |||
Rehabilitation |
261QR0400X | B4[14] | Rehabilitation Agency | |
Respite Care, Intellectual and/or Developmental Disabilities |
385HR2060X | |||
Speech-Language Pathologist |
235Z00000X | 15 | Speech Language Pathologist |
| NPI Number | 1184120750 |
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| LBN Legal business name | RESTORE HEALTHCARE MEDICAL GROUP | ||||||||||||
| Authorized official | CHRISTINA JARRETT - (EXECUTIVE DIRECTOR) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 04/03/2018 | ||||||||||||
| Last updated | 10/28/2021 - About 5 years ago | ||||||||||||
| Identifiers |
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RESTORE HEALTHCARE MEDICAL GROUP
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