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Organization
MENTAL WELLNESS RESTORED
Active
Organization
MENTAL WELLNESS RESTORED
Active
Other names
Mental Wellness Restored
Organization subpart
No
Provider details
NPI number
Authorized official
TASHARA COOPER (CEO/OWNER)
(947) 228-0060
Entity
Organization
Contact information
Practice address
22777 HARPER AVE STE 207, SAINT CLAIR SHORES, MI 48080-1846
(947) 228-0060
Mailing address
22777 HARPER AVE, SUITE 207, PMB 2030, ST. CLAIR SHORES, MI 48080
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QC1800X
Corporate Health Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QS1000X
Student Health Clinic/Center
—
—
Other
Enumeration date
09/24/2019
Last updated
09/02/2025
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