MEDICARE: RESTORATION PATH SOLUTIONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1912851593
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESTORATION PATH SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	1235 EAST BLVD STE E1289
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28203-5870
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1235 EAST BLVD STE E1289
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28203-5870
Country	:	US
Telephone Number	:	704-713-5990
Fax Number	:

Authorized Official
Title or Position	:	CEO /OWNER
Name	:	SHERINA MCCONNEYHEAD
Credential	:
Telephone Number	:	704-713-5990

Provider Enumeration Date	:	02/23/2026
Last Update Date	:	02/23/2026

Similar Medicare Providers

1497944680 — COMMUNITY RESOURCE DEVELOPMENT GROUP
Practice Location Address:

1235 EAST BLVD STE 242
CHARLOTTE, NC
28203-5870

Practice Phone: 704-756-3991
Practice Fax:

1710215959 — CHARLOTTE PRIMARY SERVICES INC.
Practice Location Address:

1235 EAST BLVD
CHARLOTTE, NC
28203-5870

Practice Phone: 252-470-8358
Practice Fax:

1811294671 — JILL RACHELE ENTERPRISES, INC.
Practice Location Address:

1235 EAST BLVD , SUITE K
CHARLOTTE, NC
28203-5870

Practice Phone: 704-335-4070
Practice Fax:

1982940334 — AUSTIN TURNER TAYLOR M.ED. CCC-SLP
Practice Location Address:

1235 EAST BLVD STE E137
CHARLOTTE, NC
28203-5870

Practice Phone: 704-659-3957
Practice Fax:

1134547904 — TENIKKA DENARD
Practice Location Address:

1235 EAST BLVD STE E-1752
CHARLOTTE, NC
28203-5870

Practice Phone: 318-779-4778
Practice Fax:

1730617580 — JODECI MARIE OQUENDO
Practice Location Address:

1235 EAST BLVD STE E1778
CHARLOTTE, NC
28203-5870

Practice Phone: 860-253-2449
Practice Fax:

Directions to “RESTORATION PATH SOLUTIONS LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.