| Revive Then Thrive | |
|
501 Morro Bay Blvd Morro Bay CA 93442 | |
| (805) 316-1341 | |
| Not Available |
| Full Name | Revive Then Thrive |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 501 Morro Bay Blvd, Morro Bay, California |
| Authorized Official Name and Position | Hallelujah A Adams (CEO/ CFO / SECRETARY) |
| Authorized Official Contact | 8054713474 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Then Thrive 785 Quintana Rd # 618 Morro Bay CA 93442-1943 Ph: (805) 316-1341 | Revive Then Thrive 501 Morro Bay Blvd Morro Bay CA 93442 Ph: (805) 316-1341 |
| NPI Number | 1972379196 |
|---|---|
| Provider Enumeration Date | 11/29/2023 |
| Last Update Date | 12/05/2023 |
| Certification Date | 11/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972379196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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