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RESTORE LIFE BEHAVIORAL HEALTH
NPI 1881174787
Counselor - Professional in Hendersonville, TN

Active since August 20, 2018
100 COUNTRY CLUB DR STE 200, HENDERSONVILLE, TN 37075(615) 348-5806(615) 285-8130 Get Directions Write a Review

NPPES record last updated: September 3, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 3, 2019, Aug 20, 2018 (2 updates tracked since 2018).

About Restore Life Behavioral Health NPPES

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

RESTORE LIFE BEHAVIORAL HEALTH (NPI 1881174787) is a healthcare organization registered as a professional in Hendersonville, Tennessee and active in the NPI registry since August 2018. The organization maintains 2 additional practice locations and lists Shervetta Porter, Owner, as its authorized official.

NPPES Registry Identity

NPI1881174787
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameRESTORE LIFE BEHAVIORAL HEALTH
Location Address100 COUNTRY CLUB DR STE 200Hendersonville, TN 37075
Mailing Address100 Country Club Dr Ste 200Hendersonville, TN 37075-4376 · (615) 348-5806 · Fax (615) 285-8130
Phone(615) 348-5806
Fax(615) 285-8130
Organization SubpartNo
Authorized OfficialShervetta PorterOwner · (615) 348-5806
Enumeration DateAugust 20, 2018
Last NPPES UpdateSeptember 3, 20192 updates tracked since enumeration
✔ NPI 1881174787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TN · 3685
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 6289 (TN)
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X · License 3685 (TN)
100 COUNTRY CLUB DR STE 200, Hendersonville, TN 37075
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Secondary Practice Locations 2

Location 1635 E Main St Ste 3Hendersonville, TN 37075 · Phone (615) 348-5806 ext. 1 · Fax (615) 285-8130
Location 2128 N 2nd St Ste 202Clarksville, TN 37040-6460 · Phone (615) 348-5806

Other Identifiers 1

MedicaidQ027516TN

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

Other Providers at the Same Location NPPES 12

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

DR. ANGELA NEAL BROOKS ED.D
Counselor (Mental Health)
100 COUNTRY CLUB DR STE 200
HENDERSONVILLE, TN 37075
Sumner County (615) 348-5806
TAMIKA MICHELLE TOMLIN MFT
Counselor (Mental Health)
100 COUNTRY CLUB DR STE 200
HENDERSONVILLE, TN 37075
Sumner County (615) 423-1140
SHERVETTA RENEE PORTER MA
Counselor (Professional)
100 COUNTRY CLUB DR STE 200
HENDERSONVILLE, TN 37075
Sumner County (615) 348-5806
CLARISSA WELLS M.ED
Counselor (Professional)
100 COUNTRY CLUB DR STE 200
HENDERSONVILLE, TN 37075
Sumner County (615) 348-5806
LATONIA P MCLAURINE
Counselor (Mental Health)
100 COUNTRY CLUB DR STE 200
HENDERSONVILLE, TN 37075
Sumner County (615) 348-5806
BREAYANT RILEY MA
Counselor (Mental Health)
100 COUNTRY CLUB DR STE 200
HENDERSONVILLE, TN 37075
Sumner County (615) 348-5806
DR. JOHN CHESTER SLATE PHD
Counselor (Professional)
100 COUNTRY CLUB DR STE 200
HENDERSONVILLE, TN 37075
Sumner County (615) 348-5806
ZENOLA DIGGS MMFT
Marriage & Family Therapist
100 COUNTRY CLUB DR STE 200
HENDERSONVILLE, TN 37075
Sumner County (615) 881-3966

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 Life Behavioral Health's NPI number?

The NPI number for Restore Life Behavioral Health is 1881174787. It was assigned to this organization in the NPPES registry on August 20, 2018.

Where is Restore Life Behavioral Health located?

Restore Life Behavioral Health is located at 100 Country Club Dr Ste 200, Hendersonville, TN 37075. The listed phone number is (615) 348-5806.

What is Restore Life 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 Life Behavioral Health was last updated on September 3, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.