Provider Demographics
NPI:1306497276
Name:JOYFUL RESTORATION COUNSELING, PLLC
Entity type:Organization
Organization Name:JOYFUL RESTORATION COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BILLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:LCDC, LPC
Authorized Official - Phone:940-465-6604
Mailing Address - Street 1:3447 MCREYNOLDS RD
Mailing Address - Street 2:
Mailing Address - City:SANGER
Mailing Address - State:TX
Mailing Address - Zip Code:76266-5776
Mailing Address - Country:US
Mailing Address - Phone:940-465-6604
Mailing Address - Fax:
Practice Address - Street 1:2214 EMERY ST STE 530
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-2478
Practice Address - Country:US
Practice Address - Phone:940-465-6604
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-23
Last Update Date:2019-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty