Organization
RESTORED CHRISTIAN COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUKE JOHANNI (CLINIC DIRECTOR & CLINICIAN)
(216) 376-0633
Entity
Organization
Contact information
Practice address
5000 THAYER CTR STE COAKLAND, OAKLAND, MD 21550-1139
(240) 230-7724
Mailing address
PO BOX 204, MECHANICSVILLE, MD 20659-0204
(240) 230-7724
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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