| Restoring Minds Therapy, Llc | |
|
11401 Robinson Hollow Rd Coeburn VA 24230-5017 | |
| (276) 207-8519 | |
| Not Available |
| Full Name | Restoring Minds Therapy, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 11401 Robinson Hollow Rd, Coeburn, Virginia |
| Authorized Official Name and Position | Teri Dahley (ADMINISTRATOR) |
| Authorized Official Contact | 2762078519 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restoring Minds Therapy, Llc 11401 Robinson Hollow Rd Coeburn VA 24230-5017 Ph: (276) 207-8519 | Restoring Minds Therapy, Llc 11401 Robinson Hollow Rd Coeburn VA 24230-5017 Ph: (276) 207-8519 |
| NPI Number | 1013785245 |
|---|---|
| Provider Enumeration Date | 12/18/2023 |
| Last Update Date | 12/18/2023 |
| Certification Date | 12/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013785245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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