RESTORATIVE SUPPORT SERVICESINC NPI 1245502798

NPI Information

  • NPI: 1245502798
  • Provider Name: RESTORATIVE SUPPORT SERVICES,INC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 2818 QUEEN CITY DR STE E
    2818- E QUEEN CITY DRIVE
    CHARLOTTE, NC
    ZIP 28208
  • Phone: (704) 236-1377

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NPI Details

RESTORATIVE SUPPORT SERVICES,INC is a professional counselor in Charlotte, NC. RESTORATIVE SUPPORT SERVICES,INC NPI is 1245502798. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2818 QUEEN CITY DR STE E
2818- E QUEEN CITY DRIVE
CHARLOTTE, NC
ZIP 28208-736
Phone: (704) 236-1377

The provider's authorized official is Pamela Fuller .
The authorized official title is Executive Director and has the following contact phone number (980) 300-7889.

The enumeration date for this NPI number is 1/30/2012 and was last updated on 3/31/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
2101YP2500XCounselorProfessionalYes
3103TB0200XPsychologistCognitive & BehavioralNo
4106H00000XMarriage & Family TherapistNo
5106H00000XMarriage & Family TherapistNORTH CAROLINANo
6171M00000XCase Manager/Care CoordinatorNORTH CAROLINANo
7225XM0800XOccupational TherapistMental HealthNORTH CAROLINANo
8302R00000XHealth Maintenance OrganizationNORTH CAROLINANo
9320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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