Restoration Counseling Center

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

RESTORATION COUNSELING CENTER

Practice address

262 Crystal Grove Blvd
Lutz, FL 33548-6460

Phone

(813) 948-9922

NPI assigned

Apr 20, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kent Bernard Gibson

Title

Owner

Phone

(813) 948-9922

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334880000000",
    "number": "1215294863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 CRYSTAL GROVE BLVD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "33548",
            "telephone_number": "813-948-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 CRYSTAL GROVE BLVD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335486460",
            "telephone_number": "813-948-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-20",
        "last_updated": "2012-04-20",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-948-9922"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Lutz, FL
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• Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.