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Organization
RESTORATION CEC TEXAS, LLC
Active
Organization
RESTORATION CEC TEXAS, LLC
Active
Other names
Restoration
Organization subpart
No
Provider details
NPI number
Authorized official
LEE LONG LPC (CEO)
(469) 878-9967
Entity
Organization
Contact information
Practice address
2421 W 7TH ST STE 400, FORT WORTH, TX 76107-2388
(817) 291-9872
Mailing address
2421 W 7TH ST STE 400, FORT WORTH, TX 76107-2388
(817) 291-9872
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
19393
—
Other
Enumeration date
06/05/2017
Last updated
07/21/2022
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