Restore Community Counseling | |
96 Masters Dr Saint Augustine FL 32084-3169 | |
(904) 670-1595 | |
Not Available |
Full Name | Restore Community Counseling |
---|---|
Speciality | Counselor - Mental Health |
Location | 96 Masters Dr, Saint Augustine, Florida |
Authorized Official Name and Position | Gabrielle M Compton (PRESIDENT) |
Authorized Official Contact | 9046701595 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Restore Community Counseling 96 Masters Dr Saint Augustine FL 32084-3169 Ph: (904) 670-1595 | Restore Community Counseling 96 Masters Dr Saint Augustine FL 32084-3169 Ph: (904) 670-1595 |
NPI Number | 1396503157 |
---|---|
Provider Enumeration Date | 03/07/2024 |
Last Update Date | 03/07/2024 |
Certification Date | 03/07/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396503157 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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