Organization
RESTART PROFESSIONAL GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COSETTE RAE LICSW (CEO)
(800) 682-6934
Entity
Organization
Contact information
Practice address
2002 156TH AVE SE, SUITE 100, SUITE 100, BELLEVUE, WA 98007
(800) 682-0670
Mailing address
1001 290TH AVE SE, FALL CITY, WA 98024-7403
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/24/2022
Last updated
06/24/2022
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