Organization
RENEW AND RESTORE THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA MCDONALD (OWNER)
(317) 629-1310
Entity
Organization
Contact information
Practice address
3843 BURNINGBUSH DR, INDIANAPOLIS, IN 46235-3584
(317) 629-1310
Mailing address
3843 BURNINGBUSH DR, INDIANAPOLIS, IN 46235-3584
(317) 629-1310
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
03/03/2023
Last updated
03/03/2023
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