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Organization
RESTORATIVE WELLNESS CLINIC
Active
Organization
RESTORATIVE WELLNESS CLINIC
Active
Other names
Wellness Recovery, Omni Health
Organization subpart
No
Provider details
NPI number
Authorized official
ANASTASIA JANDES M.D., PHARM.D. (CEO)
(859) 388-0491
Entity
Organization
Contact information
Practice address
2041 CREATIVE DR STE 100 #54448, LEXINGTON, KY 40505
(606) 618-0125
(606) 619-4209
Mailing address
PO BOX 54448, LEXINGTON, KY 40555-4448
(606) 618-0125
(606) 619-4209
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
NULL
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
—
NULL
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
Other
Enumeration date
01/28/2016
Last updated
12/18/2020
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