| Revive Counseling Llc | |
|
8052 Monticello Ave Unit 103 Skokie IL 60076-3438 | |
| (773) 609-1758 | |
| Not Available |
| Full Name | Revive Counseling Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 8052 Monticello Ave Unit 103, Skokie, Illinois |
| Authorized Official Name and Position | Guadalupe Maya-veskovic (FOUNDER) |
| Authorized Official Contact | 7736091758 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Counseling Llc 4188 Cove Ln Apt C Glenview IL 60025-3561 Ph: () - | Revive Counseling Llc 8052 Monticello Ave Unit 103 Skokie IL 60076-3438 Ph: (773) 609-1758 |
| NPI Number | 1255009783 |
|---|---|
| Provider Enumeration Date | 08/31/2021 |
| Last Update Date | 08/31/2021 |
| Certification Date | 08/31/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255009783 | NPI | - | NPPES |
| 1669986915 | Other | IL | SELF-PAY, COMMERCIAL INSURANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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