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General NPI Number Information
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NPI Number | 1366806325
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Entity Type | Organization
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Legal Business Name | RESTORATION COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 04/06/2016
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Last Update Date | 09/29/2022
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Provider Practice Location Address
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Address Line | 2014 2ND AVE NW
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City | CULLMAN
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State | AL
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Zip | 35058-0464
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Country | US
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Telephone | 256-735-8152
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Fax | 888-255-4996
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Provider Business Mailing Address
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Address Line | 2014 2ND AVE NW
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City | CULLMAN
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State | AL
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Zip | 35058-0464
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | STACY DENNEY
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Credential |
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Telephone | 256-735-8152
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C2487A
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License Number State | AL
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