OrganizationActive
Restorative Wellness Clinic
NPI 1992162465 · Addiction Medicine (Internal Medicine) Physician · Lexington, KY
Provider details
- NPI number
- 1992162465
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Anastasia Jandes, Ceo(859) 388-0491
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Behavioral Health & Social Service Providers
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Community/Behavioral Health Agency251S00000X
Agencies
Practice location
2041 Creative Dr Ste 100 #54448
Lexington, KY 40505
Phone: (606) 618-0125
Fax: (606) 619-4209
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 54448
Lexington, KY 40555-4448
Other names (DBA / former)
- Doing business as
- Omni Health
- Doing business as
- Wellness Recovery
Additional practice locations (3)
- 2716 Old Rosebud RdLexington, KY 40509-8008Phone: (859) 554-0485
- 1114 Reuben St Ste 4London, KY 40741-4021Phone: (606) 618-0125Fax: (606) 619-4209
- 220 W 5th StLondon, KY 40741-1840Phone: (606) 618-0125Fax: (606) 619-4209
Registry dates
- Enumerated
- 2016-01-28
- Last updated
- 2020-12-18
- Certified
- 2020-12-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.