Organization
RESTORATION COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE DENISE MCKENZIE LISW,LCSW (THERAPIST)
(765) 576-0778
Entity
Organization
Contact information
Practice address
120 NW 5TH ST, RICHMOND, IN 47374-4119
(765) 576-0778
Mailing address
7817 S 750 E, LYNN, IN 47355-9398
(765) 576-0778
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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