Provider Demographics
NPI:1205215316
Name:RESTORATION COUNSELING AND CONSULTING, INC
Entity Type:Organization
Organization Name:RESTORATION COUNSELING AND CONSULTING, INC
Other - Org Name:OLTHOFF COUNSELING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LUANNA
Authorized Official - Middle Name:L
Authorized Official - Last Name:OLTHOFF
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:605-838-9655
Mailing Address - Street 1:6809 S MINNESOTA AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-2569
Mailing Address - Country:US
Mailing Address - Phone:605-838-9655
Mailing Address - Fax:605-271-2548
Practice Address - Street 1:6809 S MINNESOTA AVE STE 103
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-2570
Practice Address - Country:US
Practice Address - Phone:605-838-9655
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-21
Last Update Date:2015-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDLPC-MH2061101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty