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Organization
RESTORATIVE COLLECTIVE LLC
Active
Organization
RESTORATIVE COLLECTIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIA COCHRAN (CO-OWNER)
(314) 620-9148
Entity
Organization
Contact information
Practice address
2650 W MONTROSE AVE STE 307, CHICAGO, IL 60618-1561
(773) 217-9249
Mailing address
1321 UPLAND DR # 6900, HOUSTON, TX 77043-4718
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
—
—
Other
Enumeration date
12/22/2021
Last updated
04/13/2022
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