Restart Internet Addiction Recovery

LBN: Restart Life, Pllc
Restart Internet Addiction Recovery is an health care organization with primary practice located at 2002 156Th Ave Ne , Bellevue WA 98007. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Nursing Service Providers / Registered Nurse, Agencies / Community/Behavioral Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Psychiatric Residential Treatment Facility. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is the primary health care specialty. Restart Life, Pllc can be contacted via phone (800) 682-6934, or through Rae, Cosette Dawna via phone (800) 682-6934.

Contact Information

Primary practice address
2002 156Th Ave Ne Bellevue WA 98007
Phone: (800) 682-6934
Fax: (888) 788-3419
Website:
Map and Directions
Authorized official contact:
Name: Rae, Cosette Dawna MSW
Phone: (800) 682-6934

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH60152285 Washington
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Washington
Behavioral Health & Social Service Providers / Clinical 1041C0700X Washington
Nursing Service Providers / Registered Nurse 163W00000X RN00086253 Washington
Agencies / Community/Behavioral Health 251S00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X

Profile Details

NPI number 1801166103
LBN Legal business name Restart Life, Pllc
DBA Doing business as Restart Internet Addiction Recovery
Authorized official Rae, Cosette Dawna MSW
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2012
Last updated Apr 19th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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