# RESTORATION TREATMENT CENTER OF TEXAS, LLC

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

## Provider details

- **NPI number:** 1669105490
- **Authorized official:** LABORIS COLE PHD (CEO)
- **Authorized official phone:** (601) 594-8048

## Contact information

- **Practice address:** 4425 PLANO PKWY STE 601, CARROLLTON, TX 75010-5030
- **Practice address phone:** (682) 445-0431
- **Mailing address:** 3827 TARRANT MAIN ST, EULESS, TX 76040-7214
- **Mailing address phone:** (601) 594-8048

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |

## Other

- **Enumeration date:** 07/08/2022
- **Last updated:** 07/08/2022