| Restoration Trauma And Counseling Center Llc | |
|
117 Montgomery Cir Stephens City VA 22655-5905 | |
| (540) 671-6648 | |
| Not Available |
| Full Name | Restoration Trauma And Counseling Center Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 117 Montgomery Cir, Stephens City, Virginia |
| Authorized Official Name and Position | Krystal Dewalt (CEO) |
| Authorized Official Contact | 5406716648 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restoration Trauma And Counseling Center Llc 117 Montgomery Cir Stephens City VA 22655-5905 Ph: (540) 671-6648 | Restoration Trauma And Counseling Center Llc 117 Montgomery Cir Stephens City VA 22655-5905 Ph: (540) 671-6648 |
| NPI Number | 1124780549 |
|---|---|
| Provider Enumeration Date | 10/13/2021 |
| Last Update Date | 10/13/2021 |
| Certification Date | 10/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124780549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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