| Restoration House Ministries | |
|
2450 Winfield Dunn Pkwy Kodak TN 37764-2100 | |
| (865) 805-0567 | |
| Not Available |
| Full Name | Restoration House Ministries |
|---|---|
| Speciality | Clinic/Center |
| Location | 2450 Winfield Dunn Pkwy, Kodak, Tennessee |
| Authorized Official Name and Position | Matthew Johnson (CEO) |
| Authorized Official Contact | 8658050567 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Restoration House Ministries 2450 Winfield Dunn Pkwy Kodak TN 37764-2100 Ph: () - | Restoration House Ministries 2450 Winfield Dunn Pkwy Kodak TN 37764-2100 Ph: (865) 805-0567 |
| NPI Number | 1821710864 |
|---|---|
| Provider Enumeration Date | 09/15/2022 |
| Last Update Date | 02/28/2024 |
| Certification Date | 02/28/2024 |
| Medicare PECOS PAC ID | 0244604742 |
|---|---|
| Medicare Enrollment ID | O20230324000453 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821710864 | NPI | - | NPPES |
| Provider Name | Janice Hendrix |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710604251 PECOS PAC ID: 0244223477 Enrollment ID: I20040405001172 |
| Provider Name | Matthew Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467179929 PECOS PAC ID: 7315293891 Enrollment ID: I20240723002588 |
Fusion Health Rcm Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 154 Lee Greenwood Way, Kodak, TN 37764 Phone: 865-352-1274 Fax: 423-205-4023 | |
Emotional And Behavioral Therapy Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 915 Eagle View Dr, Kodak, TN 37764 Phone: 865-280-2123 Fax: 561-634-2874 |