Restore Counseling Service

NPI #1225662166 in Clinton, Tennessee

Provider Information

NPI Number: 1225662166
Entity Type: Organization
Organization Name: Restore Counseling Service
Primary Specialty: Psychologist - Addiction (Substance Use Disorder)
Enumeration Date: Mar 1, 2020
Last Updated: Mar 1, 2020

Practice Location

Address: 1200 FOWLER LN APT C8
City: Clinton
State: Tennessee
ZIP Code: 37716-3236
Phone: (865) 770-3662

Authorized Official

Name: RICHARD EARL LYONS II, LPC
Title: FOUNDER
Phone: (865) 770-3662

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children — Substance Abuse Treatment, Children	3245S0500X
Psychologist - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	103TA0400X	Primary

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