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General NPI Number Information
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NPI Number | 1508675570
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Entity Type | Organization
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Legal Business Name | RESTORATION PSYCHIATRY, PLLC
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Dates
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Enumeration Date | 01/04/2025
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Last Update Date | 01/31/2025
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Provider Practice Location Address
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Address Line | 156 N WATER AVE STE 3
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City | GALLATIN
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State | TN
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Zip | 37066-2846
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Country | US
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Telephone | 615-524-1022
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Fax | 888-244-1057
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Provider Business Mailing Address
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Address Line | 40 SNAKE HOLLOW RD
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City | BETHPAGE
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State | TN
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Zip | 37022-4672
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Country | US
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Telephone | 615-497-6874
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JESSICA LYNN BYRD
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Credential | PMHNP-BC, WHNP-BC
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Telephone | 615-497-6874
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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