# RESTORATIVE PSYCHOTHERAPY & WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801452958
- **Authorized official:** CHERYL TANT (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (757) 650-4256

## Contact information

- **Practice address:** 3630 S PLAZA TRL STE 150A, VIRGINIA BEACH, VA 23452-3371
- **Practice address phone:** (757) 568-5582
- **Mailing address:** 2301 BEACH HAVEN DR APT 104, VIRGINIA BEACH, VA 23451-1255
- **Mailing address phone:** (757) 568-5582

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | — | NULL | Yes |
| 104100000X | Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 05/14/2019
- **Last updated:** 05/14/2019