| Revisions Counseling And Psychotherapy, Llc | |
|
4929 Van Dyke Rd Lutz FL 33558-4813 | |
| (813) 453-7074 | |
| (813) 961-5919 |
| Full Name | Revisions Counseling And Psychotherapy, Llc |
|---|---|
| Speciality | Counselor |
| Location | 4929 Van Dyke Rd, Lutz, Florida |
| Authorized Official Name and Position | Michael G. Trusty (MANAGER/SOLE PROPRIETOR) |
| Authorized Official Contact | 8134537074 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revisions Counseling And Psychotherapy, Llc 4929 Van Dyke Rd Lutz FL 33558-4813 Ph: (813) 453-7074 | Revisions Counseling And Psychotherapy, Llc 4929 Van Dyke Rd Lutz FL 33558-4813 Ph: (813) 453-7074 |
| NPI Number | 1124394648 |
|---|---|
| Provider Enumeration Date | 03/29/2012 |
| Last Update Date | 03/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124394648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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