| Revive And Restore Counseling Services Pllc | |
|
626 N Main St Waynesville NC 28786-3820 | |
| (828) 550-0074 | |
| Not Available |
| Full Name | Revive And Restore Counseling Services Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 626 N Main St, Waynesville, North Carolina |
| Authorized Official Name and Position | Lori J Clancy (OWNER) |
| Authorized Official Contact | 8285500074 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revive And Restore Counseling Services Pllc 626 N Main St Waynesville NC 28786-3820 Ph: (828) 550-0074 | Revive And Restore Counseling Services Pllc 626 N Main St Waynesville NC 28786-3820 Ph: (828) 550-0074 |
| NPI Number | 1518694702 |
|---|---|
| Provider Enumeration Date | 08/06/2022 |
| Last Update Date | 08/06/2022 |
| Certification Date | 08/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518694702 | 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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