Provider Demographics
NPI:1407432669
Name:RESTORING HOPE LLC
Entity Type:Organization
Organization Name:RESTORING HOPE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JULIANE
Authorized Official - Middle Name:WIGHT
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:ACMHC
Authorized Official - Phone:425-299-3497
Mailing Address - Street 1:85 N CENTER ST
Mailing Address - Street 2:
Mailing Address - City:AMERICAN FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84003-1625
Mailing Address - Country:US
Mailing Address - Phone:801-865-7420
Mailing Address - Fax:
Practice Address - Street 1:85 N CENTER ST
Practice Address - Street 2:
Practice Address - City:AMERICAN FORK
Practice Address - State:UT
Practice Address - Zip Code:84003-1625
Practice Address - Country:US
Practice Address - Phone:801-865-7420
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?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty