MEDICARE: RESTORED COUNSELING & WELLNESS CENTER, PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	106H00000X	Marriage & Family Therapist
2	101YM0800X	Mental Health Counselor
3	175F00000X	Naturopath

General Provider Information

NPI Number	:	1952090938
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESTORED COUNSELING & WELLNESS CENTER, PLLC

Provider Business Mailing Address
First Line	:	1489 W ELLIOT RD STE 103
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85233-5168
Country	:	US
Telephone Number	:	480-256-2829
Fax Number	:

Provider Business Practice Location Address
First Line	:	1489 W ELLIOT RD STE 103
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85233-5168
Country	:	US
Telephone Number	:	480-256-2829
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NICK PUCHALSKI
Credential	:	LMFT
Telephone Number	:	480-256-2829

Provider Enumeration Date	:	05/04/2023
Last Update Date	:	03/04/2026

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Directions to “RESTORED COUNSELING & WELLNESS CENTER, PLLC ” Practice Location

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