RESTORE COUNSELING AND CONSULTING SERVICES (NPI# 1912452095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912452095 |
| Entity Type | Organization |
| Organization Name | RESTORE COUNSELING AND CONSULTING SERVICES |
| Practice Address |
610 E Leake St Clinton MS 39056-4321 |
| Mailing Address |
4500 I 55 N Ste 220 Jackson MS 39211-5931 |
| Practice Telephone | 6012147464 |
| Mailing Telephone | 6012147464 |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2016-08-18 |
| Authorized Official Name | SHANDRA WILSON (OWNER) |
| Authorized Official Telephone | 6012147464 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | MS | Agencies |
| Street Address |
610 E LEAKE ST |
| City | CLINTON |
| State | MS |
| Zip Code | 39056-4321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376012724 | John Melvin Goolsby Jr. | Dentist | 457 Highway 80 East, Clinton, MS 39056 | 2018-11-15 |
| 1225534530 | Magnolia Allergy Clinic LLC | Internal Medicine | 402 Cynthia St Ste E, Clinton, MS 39056 | 2018-04-04 |
| 1578093704 | Melinda A Weisenberger | Specialist/Technologist | 4600 W Northside Drive, Clinton, MS 39056 | 2017-06-20 |
| 1962859702 | Telehealthone, LLC | Nurse Practitioner | 200 Clinton Plaza, Clinton, MS 39056 | 2016-05-23 |
| 1841686581 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 132 Fairmont Street, Suite B, Clinton, MS 39056 | 2015-04-09 |
| 1023412822 | Rebecca Brooks Prewitt | Social Worker | 130 B Fairmont Street, Clinton, MS 39056 | 2014-10-22 |
| 1396184149 | Robert Joseph Hargis | Urology | 116 Afton Way, Clinton, MS 39056 | 2013-06-14 |
| 1750626321 | Clinton Dental Care, Inc. | Dentist | 736 Clinton Pkwy, Clinton, MS 39056 | 2012-12-07 |
| 1922394469 | Daphenia C. Knight Starling | Nurse Practitioner | Clinton Healthcare, 1251 Pinehaven Rd, Clinton, MS 39056 | 2011-06-23 |
| 1134443385 | Gwendolyn Coleman Garror | Pharmacist | 132 Fairmount Drive, Clinton, MS 39056 | 2010-03-17 |
| Find all providers in zip 39056 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356956528 | Anchor Wellness LLC | Community/Behavioral Health | 22 N High St, Clinton, CT 06413-1731 | 2020-09-14 |
| 1194349795 | Creative Sisters Counseling LLC | Community/Behavioral Health | 134 Fairmont St Ste C, Clinton, MS 39056-4739 | 2020-05-31 |
| 1114570173 | Strive Therapeutic Services Inc | Community/Behavioral Health | 1508 Neptune Dr, Clinton, OK 73601-9706 | 2019-07-18 |
| 1467987701 | One Hope, LLC | Community/Behavioral Health | 2 Dove Way Cir, Clinton, MS 39056-3589 | 2017-04-24 |
| 1043751548 | Wilma Gaines | Community/Behavioral Health | 7801 Royal Fern Ct, Clinton, MD 20735-2054 | 2017-03-16 |
| 1417409152 | Ursula Shaw | Community/Behavioral Health | 10105 Plank Rd. Ste A, Clinton, LA 70722 | 2016-10-28 |
| 1003365164 | Right Path House, LLC | Community/Behavioral Health | 23 Elmwood Way, Clinton, CT 06413-1508 | 2016-09-29 |
| 1245691187 | Frelix Consulting | Community/Behavioral Health | 207 Trailwood Dr, Clinton, MS 39056-5844 | 2016-03-18 |
| 1861880585 | Counseling & Assesment Clinic | Community/Behavioral Health | 1 Coolidge Pl Suit 712, Clinton, MA 01510 | 2015-01-05 |
| 1245649698 | Jeducare Services, Inc | Community/Behavioral Health | 7183 Old Alexandria Ferry Rd, Clinton, MD 20735-1763 | 2014-08-11 |
| Find all providers in CLINTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.