RESTART LIFE, PLLC
NPI 1801166103
Psychiatric Residential Treatment Facility in Duvall, WA

Active since January 04, 2012CLIA 50D2257427 · Waiver
26509 NE VIRGINIA ST, DUVALL, WA 98019(800) 682-6934(888) 788-3419 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 25, 2025, Apr 19, 2022 (2 updates tracked since 2022).

About Restart Life, Pllc NPPES

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

RESTART LIFE, PLLC (NPI 1801166103) is a healthcare organization registered as a psychiatric residential treatment facility in Duvall, Washington and active in the NPI registry since January 2012. The organization holds a CLIA Waiver certificate valid through April 4, 2028, maintains a secondary practice location in Bellevue, and lists Cosette Dawna Rae, Ceo, as its authorized official.

NPPES Registry Identity

NPI1801166103
Entity TypeOrganization
Primary Taxonomy323P00000X
Legal Business NameRESTART LIFE, PLLC
Location Address26509 NE VIRGINIA STDuvall, WA 98019-6210
Mailing Address1001 290th Ave SeFall City, WA 98024-7403 · (800) 682-6934 · Fax (888) 788-3419
Fax(888) 788-3419
Organization SubpartNo
Authorized OfficialCosette Dawna RaeCeo · (800) 682-6934
Enumeration DateJanuary 4, 2012
Last NPPES UpdateJune 25, 20252 updates tracked since enumeration
NPPES CertifiedJune 25, 2025
NPI 1801166103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

Primary SpecialtyPsychiatric Residential Treatment FacilityResidential Treatment Facilities
Taxonomy Code323P00000X
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LH60152285 (WA)
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedRegistered NurseTaxonomy 163W00000X
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
26509 NE VIRGINIA ST, Duvall, WA 98019

Other Names 1

Other NameRestart Internet Addiction Recovery

Secondary Practice Location 1

Location 12002 156th Ave NE Ste 100Bellevue, WA 98007-3827 · Phone (800) 682-6934

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2257427

Restart Life · Duvall, WA
Active · expires Apr 4, 2028
CLIA Number50D2257427
Laboratory TypeCommunity Clinic
Certificate Effective DateApril 5, 2022
Certificate Expiration DateApril 4, 2028
Laboratory DirectorCosette Rae
Laboratory Phone(800) 682-0670
Laboratory LocationRestart Life26509 NE Virginia St, Duvall, WA 98019
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Community Based Residential Treatment Facility, Mental Illness
26509 NE VIRGINIA ST
DUVALL, WA 98019

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 Restart Life, PLLC's NPI number?

The NPI number for Restart Life, PLLC is 1801166103. It was assigned to this organization in the NPPES registry on January 4, 2012. The provider is also known as Restart Internet Addiction Recovery.

Where is Restart Life, PLLC located?

Restart Life, PLLC is located at 26509 NE Virginia St, Duvall, WA 98019. The listed phone number is (800) 682-6934.

What is Restart Life, PLLC's specialty?

The primary specialty registered for this NPI is Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.

Does Restart Life, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2257427) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Restart Life, PLLC was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.