Provider Demographics
NPI:1336994516
Name:RESTORATIVE HOPE COUNSELING
Entity Type:Organization
Organization Name:RESTORATIVE HOPE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:JOY
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-S
Authorized Official - Phone:936-205-1847
Mailing Address - Street 1:507 E HOSPITAL ST STE 107
Mailing Address - Street 2:
Mailing Address - City:NACOGDOCHES
Mailing Address - State:TX
Mailing Address - Zip Code:75961-5241
Mailing Address - Country:US
Mailing Address - Phone:936-205-1847
Mailing Address - Fax:936-305-8218
Practice Address - Street 1:507 E HOSPITAL ST STE 107
Practice Address - Street 2:
Practice Address - City:NACOGDOCHES
Practice Address - State:TX
Practice Address - Zip Code:75961-5241
Practice Address - Country:US
Practice Address - Phone:936-205-1847
Practice Address - Fax:936-305-8218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-20
Last Update Date:2024-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty