Restore Mental Health Services Llc

LBN: Restore Mental Health Services Llc
Restore Mental Health Services Llc is an health care organization with primary practice located at 4000 Legato Rd Ste 1100 , Fairfax VA 22033-2893. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Restore Mental Health Services Llc can be contacted via phone (571) 358-8692, or through Anyalebechi, Uchechi via phone (571) 358-8692.

Contact Information

Primary practice address
4000 Legato Rd Ste 1100 Fairfax VA 22033-2893
Phone: (571) 358-8692
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Anyalebechi, Uchechi
Phone: (571) 358-8692

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1871219972
LBN Legal business name Restore Mental Health Services Llc
DBA Doing business as
Authorized official Anyalebechi, Uchechi
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2022
Last updated Oct 19th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871219972 NPPES
Virginia MEDICAID 15013327

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