Organization
RESTORATIVE PSYCHOLOGICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURIE DICKSON-GILLESPIE PH.D (OWNER/PRESIDENT)
(864) 323-8923
Entity
Organization
Contact information
Practice address
700 NE MAIN ST, SIMPSONVILLE, SC 29681-2027
(864) 323-8923
Mailing address
700 NE MAIN ST, SIMPSONVILLE, SC 29681-2027
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
01/29/2026
Last updated
01/29/2026
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