| Revive Counseling, Pllc | |
|
225 N Bennett St Ste H Southern Pines NC 28387-4810 | |
| (253) 268-9448 | |
| Not Available |
| Full Name | Revive Counseling, Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 225 N Bennett St Ste H, Southern Pines, North Carolina |
| Authorized Official Name and Position | Roilene Williamson (OWNER/PRACTITIONER) |
| Authorized Official Contact | 2532689448 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Counseling, Pllc 225 N Bennett St Ste H Southern Pines NC 28387-4810 Ph: (253) 268-9448 | Revive Counseling, Pllc 225 N Bennett St Ste H Southern Pines NC 28387-4810 Ph: (253) 268-9448 |
| NPI Number | 1083304299 |
|---|---|
| Provider Enumeration Date | 05/10/2023 |
| Last Update Date | 05/10/2023 |
| Certification Date | 05/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083304299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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