| Restoration House Counseling | |
|
615 W Pine St Hattiesburg MS 39401-3835 | |
| (601) 336-9131 | |
| Not Available |
| Full Name | Restoration House Counseling |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 615 W Pine St, Hattiesburg, Mississippi |
| Authorized Official Name and Position | Jennifer Baker Sheridan (OWNER) |
| Authorized Official Contact | 6013369131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restoration House Counseling 615 W Pine St Hattiesburg MS 39401-3835 Ph: (601) 336-9131 | Restoration House Counseling 615 W Pine St Hattiesburg MS 39401-3835 Ph: (601) 336-9131 |
| NPI Number | 1497331508 |
|---|---|
| Provider Enumeration Date | 03/19/2021 |
| Last Update Date | 03/19/2021 |
| Certification Date | 03/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497331508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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