| Restoration Counseling Services, Llc | |
|
1403 43rd Ave Gulfport MS 39501-2545 | |
| (601) 385-1235 | |
| (228) 241-0326 |
| Full Name | Restoration Counseling Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1403 43rd Ave, Gulfport, Mississippi |
| Authorized Official Name and Position | Sherri Lynne Sabin (OWNER) |
| Authorized Official Contact | 6013851235 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Restoration Counseling Services, Llc 303 State St Bay Saint Louis MS 39520-4433 Ph: (601) 385-1235 | Restoration Counseling Services, Llc 1403 43rd Ave Gulfport MS 39501-2545 Ph: (601) 385-1235 |
| NPI Number | 1679106967 |
|---|---|
| Provider Enumeration Date | 02/15/2020 |
| Last Update Date | 02/15/2020 |
| Certification Date | 02/15/2020 |
| Medicare PECOS PAC ID | 6608204995 |
|---|---|
| Medicare Enrollment ID | O20200320000270 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679106967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sherri Lynne Sabin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942833231 PECOS PAC ID: 8325476617 Enrollment ID: I20200320000344 |
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