Organization
RESTART LIFE, PLLC
Active
Other names
Restart Internet Addiction Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
COSETTE DAWNA RAE MSW (CEO)
(800) 682-6934
Entity
Organization
Contact information
Practice address
26509 NE VIRGINIA ST, DUVALL, WA 98019-6210
(800) 682-6934
(888) 788-3419
Mailing address
1001 290TH AVE SE, FALL CITY, WA 98024-7403
(800) 682-6934
(888) 788-3419
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
LH60152285
WA
101YM0800X
Mental Health Counselor
—
WA
1041C0700X
Clinical Social Worker
—
WA
163W00000X
Registered Nurse
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/04/2012
Last updated
06/25/2025
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