| Revive Counseling Services, Llc | |
|
8701 Tryal Ct Montgomery Village MD 20886-4362 | |
| (301) 787-2049 | |
| Not Available |
| Full Name | Revive Counseling Services, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 8701 Tryal Ct, Montgomery Village, Maryland |
| Authorized Official Name and Position | Denise Mccollin-twyman (EMPLOYEE) |
| Authorized Official Contact | 3017872049 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Counseling Services, Llc 8701 Tryal Ct Montgomery Village MD 20886-4362 Ph: (301) 787-2049 | Revive Counseling Services, Llc 8701 Tryal Ct Montgomery Village MD 20886-4362 Ph: (301) 787-2049 |
| NPI Number | 1003567348 |
|---|---|
| Provider Enumeration Date | 01/18/2022 |
| Last Update Date | 01/25/2022 |
| Certification Date | 01/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003567348 | NPI | - | NPPES |
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