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Organization
RESTORATIVE MIND, RESTORATIVE BODY THERAPEUTICS LLC
Active
Organization
RESTORATIVE MIND, RESTORATIVE BODY THERAPEUTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEI BROWN (MEMBER, MANAGER)
(336) 287-4239
Entity
Organization
Contact information
Practice address
509 NASH ST W STE B, WILSON, NC 27893-3744
(336) 695-9342
Mailing address
4630 GALLANT LN, WINSTON SALEM, NC 27101-6409
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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