| Revive Counseling Llc | |
|
5830 Lookout Vw Cedar Hill MO 63016-1916 | |
| (314) 365-6421 | |
| Not Available |
| Full Name | Revive Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5830 Lookout Vw, Cedar Hill, Missouri |
| Authorized Official Name and Position | Samantha Buettner (OWNER) |
| Authorized Official Contact | 3143656421 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Counseling Llc 5830 Lookout Vw Cedar Hill MO 63016-1916 Ph: (314) 365-6421 | Revive Counseling Llc 5830 Lookout Vw Cedar Hill MO 63016-1916 Ph: (314) 365-6421 |
| NPI Number | 1073347605 |
|---|---|
| Provider Enumeration Date | 08/27/2024 |
| Last Update Date | 08/27/2024 |
| Certification Date | 08/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073347605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |