| Restore Counseling, Llc | |
|
500 W Wilson Bridge Rd Suite 75 Worthington OH 43085-2238 | |
| (614) 354-6962 | |
| Not Available |
| Full Name | Restore Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 500 W Wilson Bridge Rd, Worthington, Ohio |
| Authorized Official Name and Position | Susan Marie Mocniak (OWNER, COUNSELOR) |
| Authorized Official Contact | 6143546962 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Restore Counseling, Llc 3536 Wenwood Dr Hilliard OH 43026-2467 Ph: (614) 354-6962 | Restore Counseling, Llc 500 W Wilson Bridge Rd Suite 75 Worthington OH 43085-2238 Ph: (614) 354-6962 |
| NPI Number | 1023472990 |
|---|---|
| Provider Enumeration Date | 04/07/2016 |
| Last Update Date | 04/07/2016 |
| Medicare PECOS PAC ID | 5193017291 |
|---|---|
| Medicare Enrollment ID | O20160711001736 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023472990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I.1450715 (Ohio) | Primary |
| Provider Name | Susan Marie Mocniak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598181240 PECOS PAC ID: 0143546887 Enrollment ID: I20150224001197 |
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