Connect and Restore Therapy, LLC
NPI 1699565721ActiveOrganization· Social Worker, Clinical· Tyler, TX
Social Worker, Clinical in Tyler, Texas, registered in NPPES in May 2025. The authorized official on file is Stacy Huddleston, LCSW, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1699565721 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 12, 2025 |
| Last updated in NPPES | May 12, 2025 |
| Certified by provider | May 12, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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