NPIMap

Organization Active NPI

Restoring Hope Counseling Center, LLC

  • Mental Health Counselor
  • Evans, GA
National Provider Identifier
1346698461
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
APC004984 Issued in GA
Legal business name
RESTORING HOPE COUNSELING CENTER, LLC
Practice address
618 Ponder Place Dr
Ste. 2
Evans, GA 30809-3117
Phone
(706) 825-8491
NPI assigned
May 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2016

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

Authorized official

Name
Lynda Wade, MS, LAPC,NCC, DCC
Title
Therapist
Phone
(706) 825-8491

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X APC004984 GA Primary

Addresses

Primary practice location

618 Ponder Place Dr
Ste. 2
Evans, GA 30809-3117

Mailing address

618 Ponder Place Dr
Ste. 2
Evans, GA 30809-3117
Phone (706) 825-8491

National Provider Directory

National Provider Directory

Locations

618 Ponder Place Dr
Ste 2
Evans, GA 30809
Phone (706) 825-8491

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464652800000",
    "number": "1346698461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 PONDER PLACE DR",
            "address_2": "STE. 2",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093117",
            "telephone_number": "706-825-8491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 PONDER PLACE DR",
            "address_2": "STE. 2",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093117",
            "telephone_number": "706-825-8491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORING HOPE COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-31",
        "last_updated": "2016-05-31",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "706-825-8491",
        "authorized_official_credential": "MS, LAPC,NCC, DCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC004984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; 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.