Organization
RESTORE PSYCHOTHERAPY AND YOGA
Active
Other names
Stephanie Mazzanti
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE MAZZANTI LCPC, E-RYT (PSYCHOTHERAPIST/OWNER)
(312) 608-0097
Entity
Organization
Contact information
Practice address
3131 TAYLOR AVE, ELMWOOD PARK, WI 53405-4524
(312) 608-0097
Mailing address
4123 MEACHEM RD, MOUNT PLEASANT, WI 53403-3912
(312) 608-0097
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
180009102
IL
Other
Enumeration date
02/21/2018
Last updated
03/17/2018
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