Provider Demographics
NPI:1255094934
Name:RESTORATION OF FOCUS: MENTAL HEALTH COUNSELING AND NATUROPATHIC CARE
Entity Type:Organization
Organization Name:RESTORATION OF FOCUS: MENTAL HEALTH COUNSELING AND NATUROPATHIC CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:KRIS
Authorized Official - Middle Name:F
Authorized Official - Last Name:FALCON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, ND, BCHHP
Authorized Official - Phone:910-248-9180
Mailing Address - Street 1:310 BIRCH ST
Mailing Address - Street 2:
Mailing Address - City:RAEFORD
Mailing Address - State:NC
Mailing Address - Zip Code:28376-3297
Mailing Address - Country:US
Mailing Address - Phone:910-248-9180
Mailing Address - Fax:877-519-9597
Practice Address - Street 1:RESTORATION OF FOCUS: MENTAL HEALTH COUNSELING AND NATU
Practice Address - Street 2:310 BIRCH STREET
Practice Address - City:RAEFORD
Practice Address - State:NC
Practice Address - Zip Code:28376
Practice Address - Country:US
Practice Address - Phone:910-248-9180
Practice Address - Fax:877-519-9597
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RESTORATION OF FOCUS: MENTAL HEALTH COUNSELING AND NATUROPATHIC CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-10-19
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No364SH1100XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistHolisticGroup - Multi-Specialty