Organization
RESTORATION AT SERVANTS HEART LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY HAWTHORNE RN (CEO)
(502) 594-2640
Entity
Organization
Contact information
Practice address
654 S SHELBY ST, LOUISVILLE, KY 40202-3632
(502) 594-2640
Mailing address
654 S SHELBY ST, LOUISVILLE, KY 40202-3632
(502) 594-2640
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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