Provider Demographics
NPI:1568072874
Name:COMPLETE RESTORATION COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:COMPLETE RESTORATION COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:SABRINA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:606-471-5398
Mailing Address - Street 1:2290 ABBOTT CREEK RD
Mailing Address - Street 2:
Mailing Address - City:PRESTONSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:41653-8934
Mailing Address - Country:US
Mailing Address - Phone:606-471-5398
Mailing Address - Fax:
Practice Address - Street 1:2290 ABBOTT CREEK RD
Practice Address - Street 2:
Practice Address - City:PRESTONSBURG
Practice Address - State:KY
Practice Address - Zip Code:41653-8934
Practice Address - Country:US
Practice Address - Phone:606-471-5398
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-03
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health