Healthcare Provider Details

I. General information

NPI: 1144932377
Provider Name (Legal Business Name): RESTORING HOPE COUNSELING CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2022
Last Update Date: 12/19/2022
Certification Date: 12/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 CENTURY PARK S STE 201
BIRMINGHAM AL
35226-3924
US

IV. Provider business mailing address

300 CENTURY PARK S STE 201
BIRMINGHAM AL
35226-3924
US

V. Phone/Fax

Practice location:
  • Phone: 251-455-7274
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: JAYSON CURRY
Title or Position: CO-OWNER
Credential:
Phone: 251-455-7274