MEDICARE: HOPE & RESTORATION COUNSELING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QM0850X	Adult Mental Health Clinic/Center
2	261QM0855X	Adolescent and Children Mental Health Clinic/Center
3	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1629797881
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPE & RESTORATION COUNSELING, LLC

Provider Business Mailing Address
First Line	:	8857 CINCINNATI DAYTON RD STE 202
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-3192
Country	:	US
Telephone Number	:	513-847-1199
Fax Number	:

Provider Business Practice Location Address
First Line	:	8857 CINCINNATI DAYTON RD STE 202
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-3192
Country	:	US
Telephone Number	:	513-847-1199
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	MEGAN MORRIS
Credential	:
Telephone Number	:	513-847-1199

Provider Enumeration Date	:	08/23/2022
Last Update Date	:	09/22/2022

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