| Restorative Peace, Llc | |
|
11503 Martin Luther King Blvd Houston TX 77048-1867 | |
| (832) 706-2131 | |
| Not Available |
| Full Name | Restorative Peace, Llc |
|---|---|
| Speciality | Counselor |
| Location | 11503 Martin Luther King Blvd, Houston, Texas |
| Authorized Official Name and Position | Susie Reyes (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 2108339382 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Restorative Peace, Llc 1560 W Bay Area Blvd Ste 303 Friendswood TX 77546-2681 Ph: (832) 706-2131 | Restorative Peace, Llc 11503 Martin Luther King Blvd Houston TX 77048-1867 Ph: (832) 706-2131 |
| NPI Number | 1114706264 |
|---|---|
| Provider Enumeration Date | 09/27/2023 |
| Last Update Date | 07/26/2024 |
| Certification Date | 07/26/2024 |
| Medicare PECOS PAC ID | 3375079742 |
|---|---|
| Medicare Enrollment ID | O20241209002046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114706264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Whitney Harper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952062010 PECOS PAC ID: 0547796914 Enrollment ID: I20241209002347 |
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