RESTORE COUNSELING LLC
NPI 1427749563
Clinic/Center - Mental Health (Including Community Mental Health Center) in Midland Park, NJ

Active since May 18, 2023
666 GODWIN AVE STE 120-6, MIDLAND PARK, NJ 07432(201) 693-5335 Get Directions Write a Review

NPPES record last updated: May 18, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About RESTORE COUNSELING LLC

This page provides the complete NPI Profile along with additional information for Restore Counseling Llc, a provider established in Midland Park, New Jersey operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1427749563 assigned on May 2023. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Phillip Bracco Lmft (Principle)

NPI
1427749563 Verify this NPI
Provider Name
RESTORE COUNSELING LLC
Entity Type
Organization
Location Address
666 GODWIN AVE STE 120-6 MIDLAND PARK, NJ 07432
Location Phone
(201) 693-5335
Mailing Address
666 GODWIN AVE STE 120-6 MIDLAND PARK, NJ 07432
Mailing Phone
(201) 693-5335
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-18-2023
Last Update Date
05-18-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

 
2261QM0855XAmbulatory Health Care Facilities

Clinic/Center
Adolescent and Children Mental Health

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

PHILLIP BRACCO LMFT

Authorized Official Title
PRINCIPLE
Authorized Official Phone
(201) 693-5335

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427749563, enumerated as an "organization" on May 18, 2023.

The provider is located at 666 GODWIN AVE STE 120-6 MIDLAND PARK, NJ 07432 and the phone number is (201) 693-5335.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).