OrganizationActive
Restoration Therapy & Counseling, PLLC
NPI 1386471167 · Marriage & Family Therapist · Fargo, ND
Provider details
- NPI number
- 1386471167
- Entity type
- Organization
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Lukas Eisen, Owner(701) 951-8512
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1531 32nd Ave S Ste 102
Fargo, ND 58103-5911
Phone: (701) 951-8512
Approximate (ZIP-level) locationGet directions
Mailing address
1531 32nd Ave S Ste 102
Fargo, ND 58103-5911
Registry dates
- Enumerated
- 2024-09-17
- Last updated
- 2024-12-27
- Certified
- 2024-12-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.