# RESTORATION HEALTH AND WELLNESS SERVICES

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

## Provider details

- **NPI number:** 1952000895
- **Authorized official:** TONYA GOODMAN APRN (PMHNP)
- **Authorized official phone:** (860) 479-1586

## Contact information

- **Practice address:** 104 WATERBURY RD, PROSPECT, CT 06712-1253
- **Practice address phone:** (860) 479-1586
- **Mailing address:** 104 WATERBURY RD, PROSPECT, CT 06712-1253
- **Mailing address phone:** (860) 479-1586

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/28/2023
- **Last updated:** 02/28/2023