Provider Demographics
NPI:1346048261
Name:RESTORATION COUNSELING PLLC
Entity type:Organization
Organization Name:RESTORATION COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:JOAN
Authorized Official - Last Name:SEIDL
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:309-265-6406
Mailing Address - Street 1:102 BRIAR CT
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:61571-1905
Mailing Address - Country:US
Mailing Address - Phone:309-265-6406
Mailing Address - Fax:
Practice Address - Street 1:515 STATE ROUTE 116
Practice Address - Street 2:
Practice Address - City:GERMANTOWN HILLS
Practice Address - State:IL
Practice Address - Zip Code:61548-7612
Practice Address - Country:US
Practice Address - Phone:309-265-6406
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health