Provider Demographics
NPI:1033781083
Name:RESTORATIVE SOLUTIONS COUNSELING AND CONSULTING PLLC
Entity Type:Organization
Organization Name:RESTORATIVE SOLUTIONS COUNSELING AND CONSULTING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:LASONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:WELLS
Authorized Official - Suffix:
Authorized Official - Credentials:PH D LPC NCC
Authorized Official - Phone:269-224-2791
Mailing Address - Street 1:2031 RAMBLING RD STE 1
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49008-1632
Mailing Address - Country:US
Mailing Address - Phone:269-224-2791
Mailing Address - Fax:
Practice Address - Street 1:2031 RAMBLING RD STE 1
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49008-1632
Practice Address - Country:US
Practice Address - Phone:269-224-2791
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-10
Last Update Date:2021-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty