| Restoration Family Services, Inc. | |
|
714 Wilkins St Smithfield NC 27577 | |
| (919) 938-9502 | |
| (919) 938-9702 |
| Full Name | Restoration Family Services, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 714 Wilkins St, Smithfield, North Carolina |
| Authorized Official Name and Position | Renee Holloway Jones (PRESIDENT/CEO) |
| Authorized Official Contact | 9199389502 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Restoration Family Services, Inc. 714 Wilkins St Smithfield NC 27577-4648 Ph: (919) 938-9502 | Restoration Family Services, Inc. 714 Wilkins St Smithfield NC 27577 Ph: (919) 938-9502 |
| NPI Number | 1396921201 |
|---|---|
| Provider Enumeration Date | 01/10/2008 |
| Last Update Date | 10/31/2018 |
| Medicare PECOS PAC ID | 4082830807 |
|---|---|
| Medicare Enrollment ID | O20140730002073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396921201 | NPI | - | NPPES |
| Provider Name | Daniel F Johnston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609011600 PECOS PAC ID: 8426110651 Enrollment ID: I20110214000546 |
| Provider Name | Stacia Crick Brommel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023216157 PECOS PAC ID: 6608037866 Enrollment ID: I20120416000054 |
| Provider Name | Marlo Reyleen Watson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285982124 PECOS PAC ID: 0143449207 Enrollment ID: I20140923000323 |
| Provider Name | Susan G Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538213020 PECOS PAC ID: 6800111014 Enrollment ID: I20150211000377 |
| Provider Name | Melissa E Pellegrino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164748331 PECOS PAC ID: 9133432966 Enrollment ID: I20150722004287 |
| Provider Name | Christina Lanette Stevenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023406329 PECOS PAC ID: 3173842796 Enrollment ID: I20150911001832 |
| Provider Name | Katrina Trinette Sidney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306372487 PECOS PAC ID: 1355614272 Enrollment ID: I20170829000373 |
| Provider Name | April Mclamb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003167396 PECOS PAC ID: 6204197726 Enrollment ID: I20210921002308 |
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