| Organization Name: | RESTORATION COUNSELING |
| NPI Number: | 1487035267 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KELLY L SHORES (OWNER/THERAPIST) |
| Mailing Address: | 415 W Broadway St Ste E Fortville |
| State: | IN US |
| Postal Code: | 460401462 |
| Phone Number: | 3177107772 |
| Fax Number: | |
| NPI Enumeration Date: | 06/17/2015 |
| NPI Last Update Date: | 06/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 86000251A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |