| Restored Counseling Llc | |
|
4650 S National Ave Ste A4 Springfield MO 65810-2893 | |
| (417) 208-9840 | |
| Not Available |
| Full Name | Restored Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4650 S National Ave Ste A4, Springfield, Missouri |
| Authorized Official Name and Position | Leslie Bashioum (PRESIDENT) |
| Authorized Official Contact | 4172089840 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restored Counseling Llc 4650 S National Ave Ste A4 Springfield MO 65810-2893 Ph: (417) 208-9840 | Restored Counseling Llc 4650 S National Ave Ste A4 Springfield MO 65810-2893 Ph: (417) 208-9840 |
| NPI Number | 1730879974 |
|---|---|
| Provider Enumeration Date | 05/10/2023 |
| Last Update Date | 05/10/2023 |
| Certification Date | 05/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730879974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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