| NPI | 1205362704 |
|---|---|
| Doing Business As | RESTORED COUNSELING |
| Entity Type | Organization |
| Authorized Contact | AMANDA WHATLEY MILLER Owner 318-235-4798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA 4845) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 4845) | |
| 101YM0800X Counselor, Mental Health (Licence: LA 4845) | |
| 101YP2500X Counselor, Professional (Licence: LA 4845) | |
| 251S00000X | |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2024-05-01 |