RESTORE COUNSELING SERVICE (NPI# 1225662166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225662166 |
| Entity Type | Organization |
| Organization Name | RESTORE COUNSELING SERVICE |
| Other Organization Name | RESTORE COUNSELING SERVICE |
| Practice Address |
1200 Fowler Ln Apt C8 Clinton TN 37716-3236 |
| Practice Telephone | 8657703662 |
| Mailing Telephone | 8657703662 |
| Enumeration Date | 2020-03-01 |
| Last Update Date | 2020-03-01 |
| Authorized Official Name | RICHARD EARL LYONS II (FOUNDER) |
| Authorized Official Telephone | 8657703662 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities | ||
| Y | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Restore Counseling Service | Doing Business As Name - Organization |
| Street Address |
1200 FOWLER LN APT C8 |
| City | CLINTON |
| State | TN |
| Zip Code | 37716-3236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568097160 | Richard E Lyons II | Psychologist | 1200 Fowler Ln Apt C8, Clinton, TN 37716-3236 | 2020-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730650870 | Kellye Watkins Wilson | Dental Hygienist | 420 S. Charles Seivers Blvd, Clinton, TN 37716 | 2018-12-16 |
| 1326428087 | Sandra Ella Humphrey Mincey | Registered Nurse | Mcneeley Family Physicians, 110 Executive Park Drive, Clinton, TN 37716 | 2015-06-08 |
| 1598157224 | Susan Price Teffeteller | Nurse Practitioner | 159 Frank L Diggs Road, Clinton, TN 37716 | 2015-03-04 |
| 1710268065 | Jimmy Neil Mcbride | Pharmacist | 1130 North Charles G. Seivers Boulevard, Clinton Drug Store, Clinton, TN 37716 | 2011-08-31 |
| 1265684658 | K-va-t Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 507 South Charles Sevier Boulevard, Clinton, TN 37716 | 2008-10-16 |
| 1912186016 | Comprehensive Industrial Services Inc | Physical Therapist | 1107 Charles Seivers Blvd, Suite 2, Clinton, TN 37716 | 2007-10-25 |
| 1205039120 | Pamela H. Gross, Ph.d, P.C. | Psychologist | 1729 Dutch Valley Road, Clinton, TN 37716 | 2007-06-07 |
| 1396872057 | Health Care Inc | Pharmacy | 1130 N Charles Seivers Blvd, Clinton, TN 37716 | 2007-02-28 |
| 1346389889 | Kellie Gaetz | Physical Therapist | 1115 Charles Seivers Blvd, Suite 22, Clinton, TN 37716 | 2007-02-05 |
| 1396883955 | Phoenix Counseling Services, Inc. | Counselor | 729 Charles Seivers, Clinton, TN 37716 | 2007-02-02 |
| Find all providers in zip 37716 | ||||
| Taxonomy Code | 103TA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033629209 | Rebecca J Reed | Psychologist | 3003 Riverside Dr, Jackson, TN 38301-9160 | 2017-10-02 |
| 1255736153 | Sonya Glyn Moore | Psychologist | 400 W 1st North St Ste D, Morristown, TN 37814-4617 | 2014-11-04 |
| 1346493574 | Middle Tennessee Counseling Services, Inc | Psychologist | 435 Park Avenue, Stallings Building, Lebanon, TN 37087-3630 | 2008-10-31 |
| 1871658757 | Psychiatric Services of East Tennessee | Psychologist | 123 E Washington Ave, Athens, TN 37303 | 2006-12-22 |
| 1992775704 | Mary Kathleen Roberson | Psychologist | 665 Emory Valley Rd, Ste. A, Oak Ridge, TN 37830-7762 | 2006-01-24 |
| 1154774941 | Andrew Harper | Psychologist | 626 Bernard Ave, Knoxville, TN 37921-6253 | 2016-07-18 |
| 1548618416 | Journeypure Multyspecialty Group LLC | Psychologist | 5080 Florence Rd, Murfreesboro, TN 37129 | 2016-06-01 |
| 1114356219 | James Casey | Psychologist | 115 28th Ave N, Nashville, TN 37203-1411 | 2013-11-08 |
| 1386089605 | Recovery Physician Group of Tennessee, LLC | Psychologist | 101 Lea Ave, Nashville, TN 37210-2066 | 2013-04-30 |
| 1275799892 | Recovery Physician Group of Tennessee, LLC | Psychologist | 3175 Lenox Park Blvd Ste 412, Memphis, TN 38115-4256 | 2008-08-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.