# RESTORATIVE PSYCHOLOGICAL LLC

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

## Provider details

- **NPI number:** 1669322798
- **Authorized official:** DR. LAURIE DICKSON-GILLESPIE PH.D (OWNER/PRESIDENT)
- **Authorized official phone:** (864) 323-8923

## Contact information

- **Practice address:** 700 NE MAIN ST, SIMPSONVILLE, SC 29681-2027
- **Practice address phone:** (864) 323-8923
- **Mailing address:** 700 NE MAIN ST, SIMPSONVILLE, SC 29681-2027

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | Yes |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 01/29/2026
- **Last updated:** 01/29/2026
