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NPI Code Detail

MEDICARE: RESTORATION RESILIENCE RENEWAL THERAPY LLC

MEDICARE: RESTORATION RESILIENCE RENEWAL THERAPY 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
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1083583892
Entity Type Code : Organization
Provider Name (Legal Business Name) : RESTORATION RESILIENCE RENEWAL THERAPY LLC
Provider Business Mailing Address
First Line : 400 N TAMPA ST STE 1550
Second Line :
City : TAMPA
State : FL
Zip : 33602-4737
Country : US
Telephone Number : 972-914-8046
Fax Number :
Provider Business Practice Location Address
First Line : 400 N TAMPA ST STE 1550
Second Line :
City : TAMPA
State : FL
Zip : 33602-4737
Country : US
Telephone Number : 972-914-8046
Fax Number :
Authorized Official
Title or Position : CEO/THERAPIST
Name : RACHAEL ANNE HARVEY
Credential : LMFT
Telephone Number : 972-914-8046
Provider Enumeration Date : 10/30/2025
Last Update Date : 10/30/2025

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Directions to “RESTORATION RESILIENCE RENEWAL THERAPY LLC ” Practice Location

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