Provider Demographics
NPI:1093365207
Name:COGNITIVE RESTORATION LLC
Entity Type:Organization
Organization Name:COGNITIVE RESTORATION LLC
Other - Org Name:BEAUTIFUL BEGINNINGS COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SIGLER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:903-574-1246
Mailing Address - Street 1:100 W CENTRAL TEXAS EXPY STE 200C
Mailing Address - Street 2:
Mailing Address - City:HARKER HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:76548-2079
Mailing Address - Country:US
Mailing Address - Phone:432-217-0082
Mailing Address - Fax:
Practice Address - Street 1:100 W CENTRAL TEXAS EXPY STE 200C
Practice Address - Street 2:
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548-2079
Practice Address - Country:US
Practice Address - Phone:432-217-0082
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-19
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NONEOtherNONE