Provider Demographics
NPI:1548992571
Name:RESTORATIVE COUNSELING & WELLNESS, LLC
Entity type:Organization
Organization Name:RESTORATIVE COUNSELING & WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BRILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-391-6141
Mailing Address - Street 1:180 W HUFFAKER LN STE 302
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-2091
Mailing Address - Country:US
Mailing Address - Phone:775-391-6141
Mailing Address - Fax:
Practice Address - Street 1:180 W HUFFAKER LN STE 302
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-2091
Practice Address - Country:US
Practice Address - Phone:775-391-6141
Practice Address - Fax:775-252-3944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-28
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty