Provider Demographics
NPI:1649943028
Name:RESTORATIVE FOCUS COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:RESTORATIVE FOCUS COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:
Authorized Official - First Name:NANA AMMA
Authorized Official - Middle Name:
Authorized Official - Last Name:OWUSU-DONKOR
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:302-465-4581
Mailing Address - Street 1:12432 GREAT PARK CIR APT 301
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20876-5973
Mailing Address - Country:US
Mailing Address - Phone:302-465-4581
Mailing Address - Fax:
Practice Address - Street 1:12432 GREAT PARK CIR APT 301
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20876-5973
Practice Address - Country:US
Practice Address - Phone:302-465-4581
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-30
Last Update Date:2021-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center