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Organization
RESTORE PSYCHOLOGICAL AND COUNSELING SERVICES
Active
Organization
RESTORE PSYCHOLOGICAL AND COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY ANN ANDREWS LPC (OWNER)
(216) 310-8471
Entity
Organization
Contact information
Practice address
5601 BRIDGE ST, SUITE 300, FORT WORTH, TX 76112-2384
(682) 593-1475
(817) 492-7001
Mailing address
5601 BRIDGE ST, SUITE 300, FORT WORTH, TX 76112-2384
(682) 593-1475
(817) 492-7001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
70803
TX
251S00000X
Community/Behavioral Health Agency
70803
TX
Other
Enumeration date
06/29/2015
Last updated
09/25/2015
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