| Restoration Counseling | |
|
415 W Broadway St Ste E Fortville IN 46040-1462 | |
| (317) 710-7772 | |
| Not Available |
| Full Name | Restoration Counseling |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 415 W Broadway St Ste E, Fortville, Indiana |
| Authorized Official Name and Position | Kelly L Shores (OWNER/THERAPIST) |
| Authorized Official Contact | 3177107772 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restoration Counseling 415 W Broadway St Ste E Fortville IN 46040-1462 Ph: (317) 710-7772 | Restoration Counseling 415 W Broadway St Ste E Fortville IN 46040-1462 Ph: (317) 710-7772 |
| NPI Number | 1487035267 |
|---|---|
| Provider Enumeration Date | 06/17/2015 |
| Last Update Date | 06/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487035267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 86000251A (Indiana) | Secondary |
| 106H00000X | Marriage & Family Therapist | 35001781A (Indiana) | Primary |
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