RESTORE COUNSELING AND CONSULTING SERVICES NPI 1912452095

NPI Information

  • NPI: 1912452095
  • Provider Name: RESTORE COUNSELING AND CONSULTING SERVICES
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 4500 I 55 N STE 223
    JACKSON, MS
    ZIP 39211
  • Phone: (601) 214-7464

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NPI Details

RESTORE COUNSELING AND CONSULTING SERVICES is a professional counselor in Jackson, MS. RESTORE COUNSELING AND CONSULTING SERVICES NPI is 1912452095. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4500 I 55 N STE 223
JACKSON, MS
ZIP 39211-931
Phone: (601) 214-7464
Fax: (601) 398-9493

The provider's authorized official is Shandra Wilson .
The authorized official title is Owner and has the following contact phone number (601) 214-7464.

The enumeration date for this NPI number is 8/18/2016 and was last updated on 11/13/2020.

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
1101YP2500XCounselorProfessionalYes
2103TP2701XPsychologistGroup PsychotherapyNo
3251S00000XCommunity/Behavioral HealthMISSISSIPPINo

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: 3/30/2025

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