Organization
TOTAL RESTORATION MIND BODY SOUL SPIRIT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICKIE G KENNEDY KENNEDY (FOUNDER / CEO)
(214) 900-6366
Entity
Organization
Contact information
Practice address
4160 N SHERMAN BLVD, MILWAUKEE, WI 53216-1517
(214) 900-6366
Mailing address
4160 N SHERMAN BLVD, MILWAUKEE, WI 53216-1517
(214) 900-6366
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
01/22/2026
Last updated
01/22/2026
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