| Restore Me, Llc | |
|
17836 Chandler Park Dr Detroit MI 48224-1340 | |
| (919) 332-4043 | |
| Not Available |
| Full Name | Restore Me, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 17836 Chandler Park Dr, Detroit, Michigan |
| Authorized Official Name and Position | Krystal Smith (CLINICAL SOCIAL WORKER, OWNER) |
| Authorized Official Contact | 9193324043 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restore Me, Llc Po Box 361113 Grosse Pointe MI 48236-5113 Ph: (919) 332-4043 | Restore Me, Llc 17836 Chandler Park Dr Detroit MI 48224-1340 Ph: (919) 332-4043 |
| NPI Number | 1386255032 |
|---|---|
| Provider Enumeration Date | 08/14/2020 |
| Last Update Date | 08/14/2020 |
| Certification Date | 08/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386255032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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