Provider Demographics
NPI:1255754396
Name:RESTORATIVE SYNERGY COUNSELING
Entity type:Organization
Organization Name:RESTORATIVE SYNERGY COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRIMARY THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:JOY
Authorized Official - Last Name:MALONE
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:720-933-0239
Mailing Address - Street 1:3730 S. JEBEL WAY
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013
Mailing Address - Country:US
Mailing Address - Phone:720-933-0239
Mailing Address - Fax:
Practice Address - Street 1:3730 S JEBEL WAY
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80013-6606
Practice Address - Country:US
Practice Address - Phone:720-933-0239
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-26
Last Update Date:2014-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health