| Revision Wellness Llc | |
|
1317 Edgewater Dr Ste 1501 Orlando FL 32804-6350 | |
| (407) 755-7034 | |
| Not Available |
| Full Name | Revision Wellness Llc |
|---|---|
| Speciality | Counselor |
| Location | 1317 Edgewater Dr Ste 1501, Orlando, Florida |
| Authorized Official Name and Position | Nicole Scovile (OWNER) |
| Authorized Official Contact | 4077557034 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Revision Wellness Llc 1301 Wheeler Rd Apopka FL 32703-7410 Ph: (407) 755-7034 | Revision Wellness Llc 1317 Edgewater Dr Ste 1501 Orlando FL 32804-6350 Ph: (407) 755-7034 |
| NPI Number | 1114789468 |
|---|---|
| Provider Enumeration Date | 01/23/2024 |
| Last Update Date | 01/23/2024 |
| Certification Date | 01/23/2024 |
| Medicare PECOS PAC ID | 2365888351 |
|---|---|
| Medicare Enrollment ID | O20240313000839 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114789468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Nicole Scovil |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376178699 PECOS PAC ID: 9335585157 Enrollment ID: I20240314002110 |
Hispanic Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5134 Saint Charles Ln, Orlando, FL 32822 Phone: 407-382-9079 Fax: 407-657-6035 | |
Brighter Future Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6239 Edgewater Drive, Bldg V-1 Suite 2, Orlando, FL 32810 Phone: 407-298-9264 Fax: 407-298-9265 | |
Multilingual Psychological Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13538 Village Park Dr Unit 220, Orlando, FL 32837 Phone: 407-494-3787 Fax: 888-584-9071 | |
Mh At Orlando Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2431 Sand Lake Rd, Orlando, FL 32809 Phone: 855-876-8648 | |
The Meaningful Life Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11315 Corporate Blvd Ste 105, Orlando, FL 32817 Phone: 407-534-0186 Fax: 321-972-3982 | |
Evoyent Health Foundation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 S Orange Ave Ste 900, Orlando, FL 32801 Phone: 321-282-1999 |