Provider Demographics
NPI:1932676046
Name:RESTORATIVE COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:RESTORATIVE COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALISA
Authorized Official - Middle Name:L
Authorized Official - Last Name:PALMER-WINSTON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:860-460-4706
Mailing Address - Street 1:26 N MAIN ST STE 2B
Mailing Address - Street 2:
Mailing Address - City:SOUTHINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06489-2572
Mailing Address - Country:US
Mailing Address - Phone:860-460-4706
Mailing Address - Fax:
Practice Address - Street 1:26 N MAIN ST STE 2B
Practice Address - Street 2:
Practice Address - City:SOUTHINGTON
Practice Address - State:CT
Practice Address - Zip Code:06489-2572
Practice Address - Country:US
Practice Address - Phone:860-460-4706
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-26
Last Update Date:2018-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty