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RESTORE BEHAVIORAL HEALTH
NPI 1487288452
Counselor - Professional in Elmwood Park, WI

Active since February 27, 2020
3131 TAYLOR AVE, ELMWOOD PARK, WI 53405(773) 910-6003 Get Directions Write a Review

NPPES record last updated: February 27, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Restore Behavioral Health NPPES

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

RESTORE BEHAVIORAL HEALTH (NPI 1487288452) is a healthcare organization registered as a professional in Elmwood Park, Wisconsin and active in the NPI registry since February 2020. The organization lists Brian M Larsen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1487288452
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameRESTORE BEHAVIORAL HEALTH
Location Address3131 TAYLOR AVEElmwood Park, WI 53405-4524
Mailing Address4123 Meachem RdMount Pleasant, WI 53403-3912 · (773) 910-6003
Phone(773) 910-6003
Organization SubpartNo
Authorized OfficialBrian M LarsenCeo · (773) 910-6003
Enumeration DateFebruary 27, 2020
✔ NPI 1487288452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
3131 TAYLOR AVE, Elmwood Park, WI 53405
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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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RESTORE PSYCHOTHERAPY AND YOGA
Clinic/Center (Mental Health (Including Community Mental Health Center))
3131 TAYLOR AVE
ELMWOOD PARK, WI 53405
Racine County (312) 608-0097

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 Restore Behavioral Health's NPI number?

The NPI number for Restore Behavioral Health is 1487288452. It was assigned to this organization in the NPPES registry on February 27, 2020.

Where is Restore Behavioral Health located?

Restore Behavioral Health is located at 3131 Taylor Ave, Elmwood Park, WI 53405. The listed phone number is (773) 910-6003.

What is Restore Behavioral Health's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Restore Behavioral Health was last updated on February 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.