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General NPI Number Information
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NPI Number | 1346048261
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Entity Type | Organization
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Legal Business Name | RESTORATION COUNSELING PLLC
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Dates
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Enumeration Date | 03/05/2025
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 515 STATE ROUTE 116
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City | GERMANTOWN HILLS
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State | IL
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Zip | 61548-7612
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Country | US
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Telephone | 309-265-6406
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Fax |
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Provider Business Mailing Address
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Address Line | 102 BRIAR CT
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City | WASHINGTON
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State | IL
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Zip | 61571-1905
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Country | US
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Telephone | 309-265-6406
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | STEPHANIE JOAN SEIDL
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Credential | LCPC
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Telephone | 309-265-6406
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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