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Organization
RESTORATION COUNSELING, LLC
Active
Organization
RESTORATION COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MANCILL (OWNER)
(662) 347-3411
Entity
Organization
Contact information
Practice address
3600 GLENDALE RD, GREENVILLE, MS 38703-9457
(662) 347-3411
Mailing address
PO BOX 454, LELAND, MS 38756-0454
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
L1620
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L1620
LPC
MS
Enumeration date
06/26/2015
Last updated
06/26/2015
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