OrganizationActive
Total Restoration Mind Body Soul Spirit Inc
NPI 1649129743 · Pastoral Counselor · Milwaukee, WI
Provider details
- NPI number
- 1649129743
- Entity type
- Organization
- Primary specialty
- Pastoral CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Vickie Kennedy, Founder / Ceo(214) 900-6366
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Practice location
4160 N Sherman Blvd
Milwaukee, WI 53216-1517
Phone: (214) 900-6366
Approximate (ZIP-level) locationGet directions
Mailing address
4160 N Sherman Blvd
Milwaukee, WI 53216-1517
Registry dates
- Enumerated
- 2026-01-22
- Last updated
- 2026-01-22
- Certified
- 2026-01-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.