Revive Counseling Professionals Llc | |
202 Sandy Shores Dr Townville SC 29689-4247 | |
(864) 832-2296 | |
Not Available |
Full Name | Revive Counseling Professionals Llc |
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Speciality | Social Worker - Clinical |
Location | 202 Sandy Shores Dr, Townville, South Carolina |
Authorized Official Name and Position | Jeremy Jason Ray (MENTAL HEALTH PRACTITIONER) |
Authorized Official Contact | 8648322296 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Revive Counseling Professionals Llc 202 Sandy Shores Dr Townville SC 29689-4247 Ph: (864) 832-2296 | Revive Counseling Professionals Llc 202 Sandy Shores Dr Townville SC 29689-4247 Ph: (864) 832-2296 |
NPI Number | 1164279055 |
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Provider Enumeration Date | 04/30/2024 |
Last Update Date | 04/30/2024 |
Certification Date | 04/30/2024 |
Identifier | Type | State | Issuer |
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1164279055 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |