Provider Demographics
NPI:1598490161
Name:RESTITUTION COUNSELING SERVICES
Entity Type:Organization
Organization Name:RESTITUTION COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:TAMRA
Authorized Official - Last Name:REID
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LCMHC
Authorized Official - Phone:910-547-2092
Mailing Address - Street 1:379 ST KITTS WAY
Mailing Address - Street 2:
Mailing Address - City:WINNABOW
Mailing Address - State:NC
Mailing Address - Zip Code:28479-5684
Mailing Address - Country:US
Mailing Address - Phone:910-547-2092
Mailing Address - Fax:
Practice Address - Street 1:379 ST KITTS WAY
Practice Address - Street 2:
Practice Address - City:WINNABOW
Practice Address - State:NC
Practice Address - Zip Code:28479-5684
Practice Address - Country:US
Practice Address - Phone:910-547-2092
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-19
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty