Provider Demographics
NPI:1700264389
Name:RECOVER RESTORE COUNSELING INC
Entity Type:Organization
Organization Name:RECOVER RESTORE COUNSELING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:CONNOR
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:224-801-1700
Mailing Address - Street 1:625 N NORTH CT STE 350
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60067-8160
Mailing Address - Country:US
Mailing Address - Phone:224-801-1700
Mailing Address - Fax:
Practice Address - Street 1:625 N NORTH CT STE 350
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60067-8160
Practice Address - Country:US
Practice Address - Phone:224-801-1700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-14
Last Update Date:2015-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.009658101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty