| Revive Therapy, Llc | |
|
104 Maxwell Ave Ste 208 Greenwood SC 29646-2641 | |
| (864) 495-3131 | |
| (864) 495-3132 |
| Full Name | Revive Therapy, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 104 Maxwell Ave Ste 208, Greenwood, South Carolina |
| Authorized Official Name and Position | Nina Grace Singh (LICENSED PROFESSIONAL COUNSELORS) |
| Authorized Official Contact | 8643236414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Therapy, Llc 104 Maxwell Ave Ste 208 Greenwood SC 29646-2641 Ph: (864) 495-3131 | Revive Therapy, Llc 104 Maxwell Ave Ste 208 Greenwood SC 29646-2641 Ph: (864) 495-3131 |
| NPI Number | 1427641596 |
|---|---|
| Provider Enumeration Date | 02/18/2021 |
| Last Update Date | 01/20/2022 |
| Certification Date | 01/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427641596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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