| Revive Counseling And Consulting | |
|
302 Holiday Dr Houma LA 70364-2646 | |
| (985) 772-0879 | |
| Not Available |
| Full Name | Revive Counseling And Consulting |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 302 Holiday Dr, Houma, Louisiana |
| Authorized Official Name and Position | Victoria Rodriguez (COUNSELOR) |
| Authorized Official Contact | 9854417550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Counseling And Consulting 302 Holiday Dr Houma LA 70364-2646 Ph: (985) 772-0879 | Revive Counseling And Consulting 302 Holiday Dr Houma LA 70364-2646 Ph: (985) 772-0879 |
| NPI Number | 1275299836 |
|---|---|
| Provider Enumeration Date | 11/09/2021 |
| Last Update Date | 03/24/2022 |
| Certification Date | 03/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275299836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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