Organization
RESTORATION COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA R RICE MAE, LMFT (THERAPIST/OWNER)
(270) 846-3222
Entity
Organization
Contact information
Practice address
1830 DESTINY LN, BOWLING GREEN, KY 42104-1087
(270) 846-3222
(270) 846-3228
Mailing address
1830 DESTINY LN, BOWLING GREEN, KY 42104-1087
(270) 846-3222
(270) 846-3228
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0756
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100230130
—
KY
05
—
7100230140
—
KY
Enumeration date
10/04/2013
Last updated
10/04/2013
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