The Restoration Village: Therapeutic and Holistic Services
NPI 1679047039ActiveOrganization· Counselor, Mental Health· Waterford, MI
Counselor, Mental Health in Waterford, Michigan, registered in NPPES in January 2019. The authorized official on file is Stacey Marie Williams, LPC, DP-C, Ceo.
Overview
| NPI | 1679047039 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 17, 2019 |
| Last updated in NPPES | Aug 30, 2022 |
| Certified by provider | Aug 30, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — | — |
| Clinic/Center, Multi-Specialty | 261QM1300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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