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General NPI Number Information
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NPI Number | 1669391462
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Entity Type | Organization
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Legal Business Name | THE RESTORATION HAVEN COUNSELING LLC
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Dates
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Enumeration Date | 07/14/2026
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Last Update Date | 07/14/2026
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Provider Practice Location Address
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Address Line | 6627 BEEHIVE DR
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City | SAN ANTONIO
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State | TX
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Zip | 78252-1713
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Country | US
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Telephone | 417-763-8662
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Fax |
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Provider Business Mailing Address
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Address Line | 513 US HIGHWAY 60 E UNIT 836
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City | REPUBLIC
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State | MO
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Zip | 65738-1320
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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 | OWNER/LPC
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Name | ALLY PAIGE ALLEN
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Credential | MS, MSW, LPC
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Telephone | 417-763-8662
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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