| Restoration Wellness Group Llc | |
|
222 E Main St Ste C Auburn WA 98002-5440 | |
| (253) 501-6199 | |
| Not Available |
| Full Name | Restoration Wellness Group Llc |
|---|---|
| Speciality | Social Worker |
| Location | 222 E Main St Ste C, Auburn, Washington |
| Authorized Official Name and Position | Shermoin Clardy (OWNER) |
| Authorized Official Contact | 2535016199 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Restoration Wellness Group Llc 222 E Main St Ste C Auburn WA 98002-5440 Ph: () - | Restoration Wellness Group Llc 222 E Main St Ste C Auburn WA 98002-5440 Ph: (253) 501-6199 |
| NPI Number | 1104630078 |
|---|---|
| Provider Enumeration Date | 02/03/2025 |
| Last Update Date | 07/15/2025 |
| Certification Date | 07/15/2025 |
| Medicare PECOS PAC ID | 7618491911 |
|---|---|
| Medicare Enrollment ID | O20250408002763 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104630078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Shermoin Rena Clardy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538927686 PECOS PAC ID: 8527582824 Enrollment ID: I20250408003063 |
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