Provider Demographics
NPI:1316694797
Name:BE RESTORED
Entity type:Organization
Organization Name:BE RESTORED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:DEL MURO
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:630-542-7541
Mailing Address - Street 1:41W267 LASSO LN
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:IL
Mailing Address - Zip Code:60175-7668
Mailing Address - Country:US
Mailing Address - Phone:630-542-7541
Mailing Address - Fax:
Practice Address - Street 1:41W267 LASSO LN
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:IL
Practice Address - Zip Code:60175-7668
Practice Address - Country:US
Practice Address - Phone:630-542-7541
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-07
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty