Healthcare Provider Details

I. General information

NPI: 1669132411
Provider Name (Legal Business Name): RESTORATION COUNSELING AND CONSULTING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2021
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6100 SEAGULL ST NE STE B-205
ALBUQUERQUE NM
87109-2500
US

IV. Provider business mailing address

PO BOX 93754
ALBUQUERQUE NM
87199-3754
US

V. Phone/Fax

Practice location:
  • Phone: 254-681-8015
  • Fax:
Mailing address:
  • Phone: 505-309-4132
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER J. BLOUNT
Title or Position: OWNER
Credential: LPCC
Phone: 505-309-4132