Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Restore Counseling and Consulting Services

Organization Professional Counselor · NPI 1912452095

Restore Counseling and Consulting Services is a Professional Counselor in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2016.

Licensed in
MS
In the registry since
2016
Specialties on file
3

Practice location Address checks out

4500 I 55 N Ste 223
Jackson, MS 39211-5931
Phone: (601) 214-7464
Fax: (601) 398-9493
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X
Group Psychotherapy Psychologist Taxonomy 103TP2701X
Community/Behavioral Health Agency Taxonomy 251S00000X (MS)

Record details

NPI number1912452095
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shandra Wilson — Owner · (601) 214-7464
NPI enumeratedAugust 18, 2016
Last updated in NPPESNovember 13, 2020
Certification dateNovember 13, 2020
Mailing address4500 I 55 N Ste 220, Jackson, MS 39211-5931

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