Organization
RESTORE LIFE PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY BASIINGER LMFT (OWNER / AUTHORIZED OFFICIAL)
(734) 234-6688
Entity
Organization
Contact information
Practice address
18600 NORTHVILLE RD STE 400A, NORTHVILLE, MI 48168-3544
(734) 234-6688
Mailing address
18600 NORTHVILLE RD STE 400A, NORTHVILLE, MI 48168-3544
(734) 234-6688
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/20/2018
Last updated
06/20/2024
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