=====================================================
General NPI Number Information
=====================================================
NPI Number | 1477418259
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RESTORE RELATIONSHIPS UNFILTERED THERAPY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/23/2025
-----------------------------------------------------
Last Update Date | 12/23/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 714 BETHLEHEM PIKE
-----------------------------------------------------
City | ERDENHEIM
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19038-8102
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 267-965-9056
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 929 MANATAWNA AVE
-----------------------------------------------------
City | PHILADELPHIA
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19128-1133
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/ OPERATOR
-----------------------------------------------------
Name | HANNAH SADOCK
-----------------------------------------------------
Credential | LMFT, CST
-----------------------------------------------------
Telephone | 267-965-9056
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 106H00000X
-----------------------------------------------------
Taxonomy Name | Marriage & Family Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------