Healthcare Provider Details

I. General information

NPI: 1629797881
Provider Name (Legal Business Name): HOPE & RESTORATION COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2022
Last Update Date: 09/22/2022
Certification Date: 09/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8857 CINCINNATI DAYTON RD STE 202
WEST CHESTER OH
45069-3192
US

IV. Provider business mailing address

8857 CINCINNATI DAYTON RD STE 202
WEST CHESTER OH
45069-3192
US

V. Phone/Fax

Practice location:
  • Phone: 513-847-1199
  • Fax:
Mailing address:
  • Phone: 513-847-1199
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MEGAN MORRIS
Title or Position: CO-OWNER
Credential:
Phone: 513-847-1199