| Restoration Transformation | |
|
235 Pelican Pl Unit 3 Destin FL 32541-7317 | |
| (580) 747-0181 | |
| Not Available |
| Full Name | Restoration Transformation |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 235 Pelican Pl Unit 3, Destin, Florida |
| Authorized Official Name and Position | Michelle Ann Underwood (OWNER) |
| Authorized Official Contact | 5807470181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restoration Transformation 10355 Paradise Blvd Apt 704 Treasure Island FL 33706-3132 Ph: (580) 747-0181 | Restoration Transformation 235 Pelican Pl Unit 3 Destin FL 32541-7317 Ph: (580) 747-0181 |
| NPI Number | 1215749114 |
|---|---|
| Provider Enumeration Date | 01/27/2025 |
| Last Update Date | 02/05/2025 |
| Certification Date | 02/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215749114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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