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Organization

DIVINE RESTORATION COUNSELING AND CONSULTING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BETTY MARTIN-WOODS (COUNSELOR)
(770) 903-5262
Entity
Organization

Contact information

Practice address
910 14TH ST, PHENIX CITY, AL 36867-5051
(678) 632-0571
Mailing address
3305 MUSKET DR, COLUMBUS, GA 31907-2974
(770) 362-4769

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
Primary
101YP1600X
Pastoral Counselor
171M00000X
Case Manager/Care Coordinator
175T00000X
Peer Specialist

Other

Enumeration date
10/17/2019
Last updated
03/05/2025
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