Provider Demographics
NPI:1346800216
Name:RESTORING HOPE COUNSELING, LLC.
Entity Type:Organization
Organization Name:RESTORING HOPE COUNSELING, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAGASTUME
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:239-218-7705
Mailing Address - Street 1:210 NE 24TH TER
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33909-4214
Mailing Address - Country:US
Mailing Address - Phone:239-218-7705
Mailing Address - Fax:
Practice Address - Street 1:1404 DEL PRADO BLVD S STE 135
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33990-3782
Practice Address - Country:US
Practice Address - Phone:407-545-3250
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-13
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)