# RESTART COUNSELING AND CASE MANAGEMENT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205665585
- **Authorized official:** MR. WILLIAM GARRETT POLLOCK LCSW (OWNER)
- **Authorized official phone:** (503) 358-0254

## Contact information

- **Practice address:** 1110 SE ALDER ST, STE 301, PORTLAND, OR 97214
- **Practice address phone:** (503) 358-0254
- **Practice address fax:** (503) 610-0244
- **Mailing address:** 1110 SE ALDER ST, STE 301 BOX 10, PORTLAND, OR 97214
- **Mailing address phone:** (503) 358-0254
- **Mailing address fax:** (503) 610-0244

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 07/26/2024
- **Last updated:** 07/26/2024