| Restore Counseling Center, Llc | |
|
1240 Southridge Ct Ste 105 Hurst TX 76053-4306 | |
| (817) 614-1488 | |
| Not Available |
| Full Name | Restore Counseling Center, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1240 Southridge Ct, Hurst, Texas |
| Authorized Official Name and Position | Lisa Kaye Jones (PRESIDENT) |
| Authorized Official Contact | 8176141488 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restore Counseling Center, Llc 1240 Southridge Ct Ste 105 Hurst TX 76053-4306 Ph: (817) 614-1488 | Restore Counseling Center, Llc 1240 Southridge Ct Ste 105 Hurst TX 76053-4306 Ph: (817) 614-1488 |
| NPI Number | 1043547722 |
|---|---|
| Provider Enumeration Date | 11/17/2009 |
| Last Update Date | 05/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043547722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 62205 (Texas) | Primary |
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