Healthcare Provider Details

I. General information

NPI: 1710832720
Provider Name (Legal Business Name): RESTORE HEALING CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 ADAM BROWN RD UNIT A
PEARCY AR
71964-9519
US

IV. Provider business mailing address

199 ARABIAN TRL
HOT SPRINGS NATIONAL PARK AR
71901-2121
US

V. Phone/Fax

Practice location:
  • Phone: 501-318-2020
  • Fax: 501-767-5450
Mailing address:
  • Phone: 630-327-0471
  • Fax: 630-566-3431

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. JULIE L LOGAN
Title or Position: OWNER
Credential: DC
Phone: 630-327-0471