| Revita Therapy & Wellness | |
|
2740 Central Pkwy Ste 2 Montgomery AL 36106-3243 | |
| (334) 294-7341 | |
| Not Available |
| Full Name | Revita Therapy & Wellness |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2740 Central Pkwy Ste 2, Montgomery, Alabama |
| Authorized Official Name and Position | Candyce Anderson (OWNER) |
| Authorized Official Contact | 3342947341 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revita Therapy & Wellness 2500 Eastern Blvd Unit 230938 Montgomery AL 36123-3046 Ph: (334) 676-1363 | Revita Therapy & Wellness 2740 Central Pkwy Ste 2 Montgomery AL 36106-3243 Ph: (334) 294-7341 |
| NPI Number | 1851057269 |
|---|---|
| Provider Enumeration Date | 11/10/2021 |
| Last Update Date | 09/20/2023 |
| Certification Date | 09/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851057269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
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