Healthcare Provider Details

I. General information

NPI: 1881378842
Provider Name (Legal Business Name): RESTORING STRONG
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2023
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

428 COURTHOUSE RD SE
LOS LUNAS NM
87031-9246
US

IV. Provider business mailing address

1402 MAIN ST NW STE 122B
LOS LUNAS NM
87031-4810
US

V. Phone/Fax

Practice location:
  • Phone: 505-916-1622
  • Fax: 505-451-0628
Mailing address:
  • Phone: 505-916-1622
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JACQUELINE JEAN SCHNEDLER
Title or Position: LCSW / OWNER
Credential: LCSW
Phone: 505-916-1622