| A Restored You Counseling & Wellness Services, Llc | |
|
431 W Liberty St Unit 131 Medina OH 44256-2221 | |
| (330) 541-7450 | |
| Not Available |
| Full Name | A Restored You Counseling & Wellness Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 431 W Liberty St Unit 131, Medina, Ohio |
| Authorized Official Name and Position | Sonseray Tashia Luster (CLINICAL SOCIAL WORKER/THERAPIST) |
| Authorized Official Contact | 3305417450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Restored You Counseling & Wellness Services, Llc 3056 Dover Dr Akron OH 44312-4085 Ph: (330) 541-7450 | A Restored You Counseling & Wellness Services, Llc 431 W Liberty St Unit 131 Medina OH 44256-2221 Ph: (330) 541-7450 |
| NPI Number | 1427772904 |
|---|---|
| Provider Enumeration Date | 09/28/2022 |
| Last Update Date | 09/28/2022 |
| Certification Date | 09/28/2022 |
| Medicare PECOS PAC ID | 9234507567 |
|---|---|
| Medicare Enrollment ID | O20221117002518 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427772904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sonseray Tashia Luster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093232407 PECOS PAC ID: 8921485558 Enrollment ID: I20220519001544 |
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