Revive Counseling Services, Llc | |
304 S Wooten St # 563 Sublette KS 67877-7710 | |
(620) 675-0040 | |
(844) 645-1452 |
Full Name | Revive Counseling Services, Llc |
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Speciality | Counselor - Mental Health |
Location | 304 S Wooten St # 563, Sublette, Kansas |
Authorized Official Name and Position | Misty Humphrey (THERAPIST) |
Authorized Official Contact | 6206750040 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Revive Counseling Services, Llc Po Box 563 Sublette KS 67877-0563 Ph: (620) 675-0040 | Revive Counseling Services, Llc 304 S Wooten St # 563 Sublette KS 67877-7710 Ph: (620) 675-0040 |
NPI Number | 1235894130 |
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Provider Enumeration Date | 11/04/2021 |
Last Update Date | 09/28/2022 |
Certification Date | 09/28/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235894130 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |