| Restorative Collective Llc | |
|
2650 W Montrose Ave Ste 307 Chicago IL 60618-1561 | |
| (773) 217-9249 | |
| Not Available |
| Full Name | Restorative Collective Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2650 W Montrose Ave Ste 307, Chicago, Illinois |
| Authorized Official Name and Position | Tia Cochran (CO-OWNER) |
| Authorized Official Contact | 3146209148 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restorative Collective Llc 1321 Upland Dr # 6900 Houston TX 77043-4718 Ph: () - | Restorative Collective Llc 2650 W Montrose Ave Ste 307 Chicago IL 60618-1561 Ph: (773) 217-9249 |
| NPI Number | 1215697974 |
|---|---|
| Provider Enumeration Date | 12/22/2021 |
| Last Update Date | 04/13/2022 |
| Certification Date | 04/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215697974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
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