# RESTORATION THERAPY & COUNSELING, PLLC

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

## Provider details

- **NPI number:** 1386471167
- **Authorized official:** LUKAS EISEN (OWNER)
- **Authorized official phone:** (701) 951-8512

## Contact information

- **Practice address:** 1531 32ND AVE S STE 102, FARGO, ND 58103-5911
- **Practice address phone:** (701) 951-8512
- **Mailing address:** 1531 32ND AVE S STE 102, FARGO, ND 58103-5911
- **Mailing address phone:** (701) 951-8512

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 09/17/2024
- **Last updated:** 12/27/2024