| Re:vive | |
|
11030 Oakmont St Suite 200 A Overland Park KS 66210-1100 | |
| (913) 396-9428 | |
| Not Available |
| Full Name | Re:vive |
|---|---|
| Speciality | Counselor - Professional |
| Location | 11030 Oakmont St, Overland Park, Kansas |
| Authorized Official Name and Position | Elizabeth Nelson (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 9133969428 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Re:vive 11030 Oakmont St Suite 200 A Overland Park KS 66210-1100 Ph: () - | Re:vive 11030 Oakmont St Suite 200 A Overland Park KS 66210-1100 Ph: (913) 396-9428 |
| NPI Number | 1992174916 |
|---|---|
| Provider Enumeration Date | 09/21/2015 |
| Last Update Date | 09/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992174916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2813 (Kansas) | Primary |
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