MEDICARE: RESTORATION PRECEPTS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency	LPC# 2807, MFT998	LA

General Provider Information

NPI Number	:	1851796346
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESTORATION PRECEPTS, LLC

Provider Business Mailing Address
First Line	:	3300 CANAL ST
Second Line	:	SUITE 120
City	:	NEW ORLEANS
State	:	LA
Zip	:	70119-6206
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3300 CANAL ST
Second Line	:	SUITE 120
City	:	NEW ORLEANS
State	:	LA
Zip	:	70119-6206
Country	:	US
Telephone Number	:	504-913-5039
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CLINICAL DIRECTOR
Name	:	DR. ASHLEY BROOKS
Credential	:	PH.D., LPC-S, LMFT
Telephone Number	:	504-913-5039

Provider Enumeration Date	:	10/27/2014
Last Update Date	:	10/27/2014

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Directions to “RESTORATION PRECEPTS, LLC ” Practice Location

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