Provider Demographics
NPI:1376333260
Name:RESTORING HOPE COUNSELING SERVICES, PLLC
Entity type:Organization
Organization Name:RESTORING HOPE COUNSELING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:KRISTIAN
Authorized Official - Last Name:WALLACE-NICHOLS
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:252-717-2600
Mailing Address - Street 1:1968 QUAIL RIDGE RD APT E
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-5521
Mailing Address - Country:US
Mailing Address - Phone:252-717-2600
Mailing Address - Fax:
Practice Address - Street 1:1968 QUAIL RIDGE RD APT E
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-5521
Practice Address - Country:US
Practice Address - Phone:252-717-2600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)