Revitalize Counseling Services | |
460 Wilson Ave Versailles KY 40383-1947 | |
(859) 753-6626 | |
(859) 787-0552 |
Full Name | Revitalize Counseling Services |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 460 Wilson Ave, Versailles, Kentucky |
Authorized Official Name and Position | Alyssa Vitali (DIRECTOR) |
Authorized Official Contact | 8597530754 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Revitalize Counseling Services 411 Ryne Ct Versailles KY 40383-1390 Ph: () - | Revitalize Counseling Services 460 Wilson Ave Versailles KY 40383-1947 Ph: (859) 753-6626 |
NPI Number | 1013476639 |
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Provider Enumeration Date | 03/13/2019 |
Last Update Date | 06/17/2022 |
Certification Date | 06/17/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013476639 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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