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Organization
RESTORATIVE MENTAL WELLNESS CENTER
Active
Organization
RESTORATIVE MENTAL WELLNESS CENTER
Active
Other names
Mental Wellness Restored
Organization subpart
No
Provider details
NPI number
Authorized official
TASHARA COOPER (CEO)
(248) 579-5560
Entity
Organization
Contact information
Practice address
14754 FENKELL ST, DETROIT, MI 48227-2941
(248) 579-5560
Mailing address
22777 HARPER AVE, SUITE 207, PMB 2030, ST. CLAIR SHORES, MI 48080
(248) 579-5560
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QS1000X
Student Health Clinic/Center
—
—
Other
Enumeration date
08/09/2024
Last updated
06/12/2025
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