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General NPI Number Information
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NPI Number | 1982548889
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Entity Type | Organization
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Legal Business Name | RESTORATIVE GRACE COUNSELING LLC
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Dates
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Enumeration Date | 04/20/2026
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Last Update Date | 04/20/2026
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Provider Practice Location Address
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Address Line | 7416 ROE AVE
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City | PRAIRIE VILLAGE
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State | KS
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Zip | 66208-2848
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Country | US
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Telephone | 913-229-6602
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Fax |
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Provider Business Mailing Address
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Address Line | 7416 ROE AVE
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City | PRAIRIE VILLAGE
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State | KS
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Zip | 66208-2848
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Country | US
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Telephone | 913-229-6602
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Fax |
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Authorized Official
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Title or Position | OWNER-AUTHORIZED OFFICIAL
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Name | ANNA BERTHOLF
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Credential | MS
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Telephone | 913-229-6602
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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