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SHATTERED 2 RESTORED
NPI 1285206656
Counselor - Mental Health in Florence, KY

Active since July 14, 2021
7659 MALL RD # 1016, FLORENCE, KY 41042(859) 379-8152 Get Directions Write a Review

NPPES record last updated: July 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shattered 2 Restored NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHATTERED 2 RESTORED (NPI 1285206656) is a healthcare organization registered as a mental health in Florence, Kentucky and active in the NPI registry since July 2021. The organization lists Chenel M. Stewart, Owner/clinician, as its authorized official.

NPPES Registry Identity

NPI1285206656
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameSHATTERED 2 RESTORED
Location Address7659 MALL RD # 1016Florence, KY 41042-1403
Mailing Address7659 Mall Rd # 1016Florence, KY 41042-1403 · (859) 379-8152
Phone(859) 379-8152
Organization SubpartNo
Authorized OfficialChenel M. StewartOwner/clinician · (270) 875-2548
Enumeration DateJuly 14, 2021
NPPES CertifiedJuly 14, 2021
✔ NPI 1285206656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
7659 MALL RD # 1016, Florence, KY 41042
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Other Names 1

Doing Business AsShattered 2 Restored

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shattered 2 Restored's NPI number?

The NPI number for Shattered 2 Restored is 1285206656. It was assigned to this organization in the NPPES registry on July 14, 2021.

Where is Shattered 2 Restored located?

Shattered 2 Restored is located at 7659 Mall Rd # 1016, Florence, KY 41042. The listed phone number is (859) 379-8152.

What is Shattered 2 Restored's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Shattered 2 Restored was last updated on July 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.