Provider Demographics
NPI:1467981225
Name:RESTORATION COUNSELING, LLC
Entity Type:Organization
Organization Name:RESTORATION COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DEIRDRE
Authorized Official - Middle Name:KATHERINE
Authorized Official - Last Name:ADDUCI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:330-219-5345
Mailing Address - Street 1:1020 FAIRWAY CT NE
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44483-5663
Mailing Address - Country:US
Mailing Address - Phone:330-219-5345
Mailing Address - Fax:
Practice Address - Street 1:197 W MAIN ST STE D
Practice Address - Street 2:
Practice Address - City:CORTLAND
Practice Address - State:OH
Practice Address - Zip Code:44410-1460
Practice Address - Country:US
Practice Address - Phone:330-219-5345
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-06
Last Update Date:2017-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE-0008081-SUPV101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty