| Restoration Wellness, Llc | |
|
14502 N Dale Mabry Hwy Ste 200 Tampa FL 33618-2040 | |
| (813) 419-2082 | |
| Not Available |
| Full Name | Restoration Wellness, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 14502 N Dale Mabry Hwy Ste 200, Tampa, Florida |
| Authorized Official Name and Position | Adaliz Maria Garces (PRESIDENT) |
| Authorized Official Contact | 8134192082 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restoration Wellness, Llc 14502 N Dale Mabry Hwy Ste 200 Tampa FL 33618-2040 Ph: (813) 419-2082 | Restoration Wellness, Llc 14502 N Dale Mabry Hwy Ste 200 Tampa FL 33618-2040 Ph: (813) 419-2082 |
| NPI Number | 1063050110 |
|---|---|
| Provider Enumeration Date | 12/18/2019 |
| Last Update Date | 05/12/2021 |
| Certification Date | 05/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063050110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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