| Restoration Counseling Center | |
|
262 Crystal Grove Blvd Lutz FL 33548-6460 | |
| (813) 948-9922 | |
| Not Available |
| Full Name | Restoration Counseling Center |
|---|---|
| Speciality | Counselor |
| Location | 262 Crystal Grove Blvd, Lutz, Florida |
| Authorized Official Name and Position | Kent Bernard Gibson (OWNER) |
| Authorized Official Contact | 8139489922 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restoration Counseling Center 262 Crystal Grove Blvd Lutz FL 33548 Ph: (813) 948-9922 | Restoration Counseling Center 262 Crystal Grove Blvd Lutz FL 33548-6460 Ph: (813) 948-9922 |
| NPI Number | 1215294863 |
|---|---|
| Provider Enumeration Date | 04/20/2012 |
| Last Update Date | 04/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215294863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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