| Revay Therapy Services Llc | |
|
105 Revere Dr Versailles KY 40383-9381 | |
| (606) 524-1280 | |
| Not Available |
| Full Name | Revay Therapy Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 105 Revere Dr, Versailles, Kentucky |
| Authorized Official Name and Position | Scarlet Thomas (OWNER) |
| Authorized Official Contact | 6065241280 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Revay Therapy Services Llc 105 Revere Dr Versailles KY 40383-9381 Ph: (606) 524-1280 | Revay Therapy Services Llc 105 Revere Dr Versailles KY 40383-9381 Ph: (606) 524-1280 |
| NPI Number | 1710760301 |
|---|---|
| Provider Enumeration Date | 08/16/2023 |
| Last Update Date | 08/16/2023 |
| Certification Date | 08/16/2023 |
| Medicare PECOS PAC ID | 4082060587 |
|---|---|
| Medicare Enrollment ID | O20231019000734 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710760301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Scarlet Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104329580 PECOS PAC ID: 5991151490 Enrollment ID: I20231019000915 |
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