Organization
RESTORE COUNSELING SERVICE
Active
Other names
Restore Counseling Service
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD EARL LYONS II LPC (FOUNDER)
(865) 770-3662
Entity
Organization
Contact information
Practice address
1200 FOWLER LN APT C8, CLINTON, TN 37716-3236
(865) 770-3662
Mailing address
1200 FOWLER LN APT C8, CLINTON, TN 37716-3236
(865) 770-3662
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
03/01/2020
Last updated
03/01/2020
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