Active NPI
Restoration Counseling Services, LLC
- Community/Behavioral Health Agency
- Jackson, MS
National Provider Identifier
1710374269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 1639
- Legal business name
- RESTORATION COUNSELING SERVICES, LLC
- Practice address
- 4500 I 55 N Ste 220
Jackson, MS 39211-5931 - Phone
- (601) 589-0090
- NPI assigned
- Apr 22, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Rebecca Renee Spann, ED.S, NCC,LPC
- Title
- Counselor/Owner
- Phone
- (601) 589-0990
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 1639 | MS | Primary |
Addresses
Primary practice location
4500 I 55 N Ste 220
Jackson, MS 39211-5931
Mailing address
4500 I 55 N Ste 220
Jackson, MS 39211-5931
Phone (601) 589-0090
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429660800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1429660800000",
"number": "1710374269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 I 55 N STE 220",
"city": "JACKSON",
"state": "MS",
"postal_code": "392115931",
"telephone_number": "601-589-0090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 I 55 N STE 220",
"city": "JACKSON",
"state": "MS",
"postal_code": "392115931",
"telephone_number": "601-589-0090"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESTORATION COUNSELING SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-22",
"last_updated": "2015-04-22",
"status": "A",
"authorized_official_last_name": "SPANN",
"authorized_official_first_name": "REBECCA",
"authorized_official_middle_name": "RENEE",
"authorized_official_title_or_position": "COUNSELOR/OWNER",
"authorized_official_telephone_number": "601-589-0990",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "ED.S, NCC,LPC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MS",
"license": "1639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
- Miller Renfrow
- Resilience Home Care Services LLC
- Resilient Therapeutics LLC
- Resolution Counseling Services, PLLC
- Restoration Chiropractic Inc.
- Restoration Rehab Inc
- Restore Counseling and Consulting Services
- Restore Health PLLC (Restore Health Clinic)
- Hazan Retana, BA, PSYCHOLOGY
- Robert Kennedy Revere, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.