Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pastoral |
101YP1600X | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Mental Health |
101YM0800X |
| NPI Number | 1649129743 |
| LBN Legal business name | TOTAL RESTORATION MIND BODY SOUL SPIRIT INC |
| Authorized official | VICKIE KENNEDY - (FOUNDER / CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 01/22/2026 |
| Last updated | 01/22/2026 - About 4 months ago |
| Identifiers | n/a |
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