Restoration Counseling Center | |
262 Crystal Grove Blvd Lutz FL 33548-6460 | |
(813) 948-9922 | |
Not Available |
Full Name | Restoration Counseling Center |
---|---|
Speciality | Counselor |
Location | 262 Crystal Grove Blvd, Lutz, Florida |
Authorized Official Name and Position | Kent Bernard Gibson (OWNER) |
Authorized Official Contact | 8139489922 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Restoration Counseling Center 262 Crystal Grove Blvd Lutz FL 33548 Ph: (813) 948-9922 | Restoration Counseling Center 262 Crystal Grove Blvd Lutz FL 33548-6460 Ph: (813) 948-9922 |
NPI Number | 1215294863 |
---|---|
Provider Enumeration Date | 04/20/2012 |
Last Update Date | 04/20/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215294863 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
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