| Restore Counseling & Care Management, Llc | |
|
215 Church St Ste 105-107 Decatur GA 30030-3330 | |
| (404) 259-8787 | |
| (770) 995-1959 |
| Full Name | Restore Counseling & Care Management, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 215 Church St, Decatur, Georgia |
| Authorized Official Name and Position | Emily A Fitzpatrick (OWNER) |
| Authorized Official Contact | 4042598787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restore Counseling & Care Management, Llc 1697 Wade Ave Ne Atlanta GA 30317-2053 Ph: (404) 259-8787 | Restore Counseling & Care Management, Llc 215 Church St Ste 105-107 Decatur GA 30030-3330 Ph: (404) 259-8787 |
| NPI Number | 1457756686 |
|---|---|
| Provider Enumeration Date | 10/30/2014 |
| Last Update Date | 10/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457756686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC007985 (Georgia) | Primary |
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