| Revival Counseling Llc | |
|
7264 S Woodrow Dr Pendleton IN 46064-9102 | |
| (814) 282-5489 | |
| Not Available |
| Full Name | Revival Counseling Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7264 S Woodrow Dr, Pendleton, Indiana |
| Authorized Official Name and Position | Kaylee Durnell (OWNER/THERAPIST) |
| Authorized Official Contact | 8142825489 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revival Counseling Llc 7264 S Woodrow Dr Pendleton IN 46064-9102 Ph: (814) 282-5489 | Revival Counseling Llc 7264 S Woodrow Dr Pendleton IN 46064-9102 Ph: (814) 282-5489 |
| NPI Number | 1821766320 |
|---|---|
| Provider Enumeration Date | 08/31/2021 |
| Last Update Date | 11/10/2022 |
| Certification Date | 11/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821766320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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