Provider Demographics
NPI:1093391344
Name:RESTORATION COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:RESTORATION COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:KOSSLER
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:610-585-0113
Mailing Address - Street 1:318 W BALTIMORE AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-3791
Mailing Address - Country:US
Mailing Address - Phone:610-585-0113
Mailing Address - Fax:
Practice Address - Street 1:318 W BALTIMORE AVE STE 3
Practice Address - Street 2:
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-3791
Practice Address - Country:US
Practice Address - Phone:610-585-0113
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-18
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)