| Restore Counseling | |
|
415 Medical Dr Ste B101 Bountiful UT 84010-4989 | |
| (385) 259-2269 | |
| Not Available |
| Full Name | Restore Counseling |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 415 Medical Dr Ste B101, Bountiful, Utah |
| Authorized Official Name and Position | Ryan Vanatta (REGISTERED AGENT) |
| Authorized Official Contact | 3852592269 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restore Counseling 858 N Lafayette Dr Salt Lake City UT 84116-2148 Ph: (385) 259-2269 | Restore Counseling 415 Medical Dr Ste B101 Bountiful UT 84010-4989 Ph: (385) 259-2269 |
| NPI Number | 1255937975 |
|---|---|
| Provider Enumeration Date | 12/08/2020 |
| Last Update Date | 12/08/2020 |
| Certification Date | 12/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255937975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (NU) | Primary |
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