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RESTORE BEHAVIORAL SERVICES LLC. NPI 1104523968


NPI Information

NPI: 1104523968
Provider Name: RESTORE BEHAVIORAL SERVICES LLC.

Doing Business As: RESTORE BEHAVIORAL SERVICES LLC.

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
1919 COMMERCE DR STE 230
HAMPTON, VA
ZIP 23666
Phone: (757) 509-4894
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RESTORE BEHAVIORAL SERVICES LLC. is a community behavioral health in Hampton, VA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. RESTORE BEHAVIORAL SERVICES LLC. NPI is 1104523968. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Restore Behavioral Services Llc..

The provider's business location address is:

1919 COMMERCE DR STE 230
HAMPTON, VA
ZIP 23666-269
Phone: (757) 509-4894

The provider's authorized official is Dominique Washington-smith .
The authorized official title is Ceo/owner and has the following contact phone number (757) 509-4984.

The enumeration date for this NPI number is 2/13/2023 and was last updated on 9/19/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
2251S00000XCommunity/Behavioral HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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