Organization
RESTORATIVE MIND COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY WALKER LPC, NCC (LICENSED PROFESSIONAL COUNSELOR)
(276) 696-1799
Entity
Organization
Contact information
Practice address
1009 W STATE ST STE 302, BRISTOL, VA 24201-3823
(276) 696-1799
Mailing address
1009 W STATE ST STE 302, BRISTOL, VA 24201-3823
(276) 696-1799
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
11/15/2022
Last updated
02/02/2023
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