| Restore Community Counseling | |
|
96 Masters Dr Saint Augustine FL 32084-3169 | |
| (904) 670-1595 | |
| Not Available |
| Full Name | Restore Community Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 96 Masters Dr, Saint Augustine, Florida |
| Authorized Official Name and Position | Gabrielle M Compton (PRESIDENT) |
| Authorized Official Contact | 9046701595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restore Community Counseling 96 Masters Dr Saint Augustine FL 32084-3169 Ph: (904) 670-1595 | Restore Community Counseling 96 Masters Dr Saint Augustine FL 32084-3169 Ph: (904) 670-1595 |
| NPI Number | 1396503157 |
|---|---|
| Provider Enumeration Date | 03/07/2024 |
| Last Update Date | 03/07/2024 |
| Certification Date | 03/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396503157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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