RESTORATION HOPE WELLNESS CENTER LLC NPI 1336808872

NPI Information

NPI: 1336808872
Provider Name: RESTORATION HOPE WELLNESS CENTER LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
126 ENTERPRISE PATH STE 104A
HIRAM, GA
ZIP 30141
Phone: (770) 309-9417
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RESTORATION HOPE WELLNESS CENTER LLC is a clinic center in Hiram, GA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). RESTORATION HOPE WELLNESS CENTER LLC NPI is 1336808872. The provider is registered as an organization entity type.

The provider's business location address is:

126 ENTERPRISE PATH STE 104A
HIRAM, GA
ZIP 30141-655
Phone: (770) 309-9417

The provider's authorized official is Kaitlin Harden .
The authorized official title is Ceo and has the following contact phone number (770) 309-9417.

The enumeration date for this NPI number is 12/13/2021 and was last updated on 9/14/2022.

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	Primary
1	251B00000X	Case Management		No
2	251S00000X	Community/Behavioral Health		No
3	261QH0100X	Clinic/Center	Health Service	No
4	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
5	261QM2500X	Clinic/Center	Medical Specialty	No
6	261Q00000X	Clinic/Center		Yes

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

NPI Synchronization or Removal

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