Organization
RESTORATION COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL LASHON SMITH LCSW-C (LICENSED CLINICAL SOCIAL WORKER)
(919) 332-4043
Entity
Organization
Contact information
Practice address
2 W ROLLING, SUITE 210, CATONSVILLE, MD 21228-6208
(410) 744-7014
(410) 744-6903
Mailing address
4709 CREEKSIDE CIR, APARTMENT 302, OWINGS MILLS, MD 21117-7125
(919) 332-4043
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
15128
MD
261QM0850X
Adult Mental Health Clinic/Center
15128
MD
261QM0855X
Adolescent and Children Mental Health Clinic/Center
15128
MD
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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