| Relationship Restoration Llc | |
|
2166 Pelham Pkwy Ste 2 Pelham AL 35124-1131 | |
| (205) 664-8787 | |
| Not Available |
| Full Name | Relationship Restoration Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2166 Pelham Pkwy Ste 2, Pelham, Alabama |
| Authorized Official Name and Position | Tracy Bahakel Laforty (OWNER/OPERATOR) |
| Authorized Official Contact | 2056648787 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Relationship Restoration Llc 2166 Pelham Pkwy Ste 2 Pelham AL 35124-1131 Ph: (205) 664-8787 | Relationship Restoration Llc 2166 Pelham Pkwy Ste 2 Pelham AL 35124-1131 Ph: (205) 664-8787 |
| NPI Number | 1528522356 |
|---|---|
| Provider Enumeration Date | 01/25/2019 |
| Last Update Date | 12/12/2024 |
| Certification Date | 12/12/2024 |
| Medicare PECOS PAC ID | 4082140348 |
|---|---|
| Medicare Enrollment ID | O20241210001574 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528522356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Tracy Bahakel Laforty |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1437365418 PECOS PAC ID: 5991231250 Enrollment ID: I20241213000328 |
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