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
—
—
207R00000X
Internal Medicine Physician
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
01/28/2016
Last updated
12/18/2020
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