| Revive Counseling | |
|
9238 Madison Blvd Ste 116 Madison AL 35758-9112 | |
| (920) 948-4535 | |
| (256) 542-3289 |
| Full Name | Revive Counseling |
|---|---|
| Speciality | Clinic/Center |
| Location | 9238 Madison Blvd Ste 116, Madison, Alabama |
| Authorized Official Name and Position | Amber Dallman (THERAPIST/OWNER) |
| Authorized Official Contact | 9209484535 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Counseling 9238 Madison Blvd Ste 116 Madison AL 35758-9112 Ph: (920) 948-4535 | Revive Counseling 9238 Madison Blvd Ste 116 Madison AL 35758-9112 Ph: (920) 948-4535 |
| NPI Number | 1063082840 |
|---|---|
| Provider Enumeration Date | 06/25/2021 |
| Last Update Date | 06/25/2021 |
| Certification Date | 06/25/2021 |
| Medicare PECOS PAC ID | 2961809850 |
|---|---|
| Medicare Enrollment ID | O20210920001974 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063082840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Amber Rose Dallman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255790945 PECOS PAC ID: 1052600079 Enrollment ID: I20160516000462 |
North Alabama Family Psychiatry & Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9238 Madison Blvd, Suite 750, Madison, AL 35758 Phone: 256-727-8880 Fax: 888-951-7515 | |
Complete Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 810 Palmer Rd Ste 101b, Madison, AL 35758 Phone: 256-213-1934 | |
Connect Relational Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9238 Madison Blvd Ste 116, Madison, AL 35758 Phone: 256-542-3288 Fax: 256-542-3289 | |
Dba Kasey West Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9238 Madison Blvd Ste 116, Madison, AL 35758 Phone: 256-542-3288 | |
Anchor Of Hope Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 650 Sun Temple Dr, Madison, AL 35758 Phone: 256-361-9248 | |
Giving Grace Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 56 Hughes Rd Pmb116, Madison, AL 35758 Phone: 256-850-4091 Fax: 256-975-1643 |