| Restore Mental Health Pllc | |
|
145 W Church Ave Covington TN 38019-2549 | |
| (901) 481-1759 | |
| Not Available |
| Full Name | Restore Mental Health Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 145 W Church Ave, Covington, Tennessee |
| Authorized Official Name and Position | Sarah A Newman (SOLE MEMBER, MANAGER) |
| Authorized Official Contact | 9014833036 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Restore Mental Health Pllc Po Box 721 Covington TN 38019-0721 Ph: (901) 481-1759 | Restore Mental Health Pllc 145 W Church Ave Covington TN 38019-2549 Ph: (901) 481-1759 |
| NPI Number | 1720654981 |
|---|---|
| Provider Enumeration Date | 05/28/2021 |
| Last Update Date | 05/28/2021 |
| Certification Date | 05/28/2021 |
| Medicare PECOS PAC ID | 1759782675 |
|---|---|
| Medicare Enrollment ID | O20210630000621 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720654981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sarah Newman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861841876 PECOS PAC ID: 1951734771 Enrollment ID: I20191210001213 |
Professional Care Services Of West Tn, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1997 Highway 51 S, Covington, TN 38019 Phone: 901-476-8967 |