Restore Life Behavioral Health
LBN: Restore Life Behavioral Health
Restore Life Behavioral Health is an health care organization with primary practice located at 100 Country Club Dr Ste 200 , Hendersonville TN 37075. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Behavioral Health & Social Service Providers / Professional is the primary health care specialty.
Restore Life Behavioral Health can be contacted via phone (615) 348-5806, or through Porter, Shervetta via phone (615) 348-5806.
Contact Information
Primary practice address
100 Country Club Dr Ste 200
Hendersonville TN 37075
Phone: (615) 348-5806
Fax: (615) 285-8130
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 3685 | Tennessee |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6289 | Tennessee |
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | 3685 | Tennessee |
Profile Details
| NPI number | 1881174787 |
|---|---|
| LBN Legal business name | Restore Life Behavioral Health |
| DBA Doing business as | |
| Authorized official | Porter, Shervetta MA, LPC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 20th, 2018 |
| Last updated | Sep 3rd, 2019 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881174787 | NPPES |
| Tennessee | MEDICAID | Q027516 |
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