Organization
RESTORED HEALTH ASSOCIATES CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA BROWNLEE (PRESIDENT)
(601) 577-2782
Entity
Organization
Contact information
Practice address
541 COMMERCE ST, LAUREL, MS 39440-3954
(601) 577-2782
Mailing address
530 EUCUTTA RD, HEIDELBERG, MS 39439-3100
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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