| Revision Counseling And Wellness, Pllc. | |
|
5960 Fairview Rd Ste 400 Charlotte NC 28210-3119 | |
| (704) 649-7347 | |
| Not Available |
| Full Name | Revision Counseling And Wellness, Pllc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5960 Fairview Rd Ste 400, Charlotte, North Carolina |
| Authorized Official Name and Position | Jarrett L Evans (THERAPIST / CEO) |
| Authorized Official Contact | 7046497347 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revision Counseling And Wellness, Pllc. Po Box 1405 Pineville NC 28134-1405 Ph: (704) 649-7347 | Revision Counseling And Wellness, Pllc. 5960 Fairview Rd Ste 400 Charlotte NC 28210-3119 Ph: (704) 649-7347 |
| NPI Number | 1528794914 |
|---|---|
| Provider Enumeration Date | 07/27/2022 |
| Last Update Date | 07/27/2022 |
| Certification Date | 07/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528794914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 251B00000X | Case Management | (* (Not Available)) | Secondary |
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