Provider Demographics
NPI:1033872726
Name:RESTORATION FAITH BASED COUNSELING, INC
Entity Type:Organization
Organization Name:RESTORATION FAITH BASED COUNSELING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ LEAD THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:SONYA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:MCCURDY
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW, PIP, MPH,MDIV
Authorized Official - Phone:205-582-7885
Mailing Address - Street 1:3985 PARKWOOD RD STE 109-102
Mailing Address - Street 2:
Mailing Address - City:BESSEMER
Mailing Address - State:AL
Mailing Address - Zip Code:35022-5690
Mailing Address - Country:US
Mailing Address - Phone:205-582-7885
Mailing Address - Fax:205-997-2025
Practice Address - Street 1:5132 CANDLE BROOK TER
Practice Address - Street 2:
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35022-8329
Practice Address - Country:US
Practice Address - Phone:205-582-7885
Practice Address - Fax:205-997-2025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-19
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty