| Revive & Thrive Counseling Llc | |
|
1401 Doremus Pl Hillside NJ 07205-1844 | |
| (908) 718-1840 | |
| Not Available |
| Full Name | Revive & Thrive Counseling Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1401 Doremus Pl, Hillside, New Jersey |
| Authorized Official Name and Position | Falinda C Dieujuste (OWNER/THERAPIST) |
| Authorized Official Contact | 9087181840 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revive & Thrive Counseling Llc 1401 Doremus Pl Apt A2 Hillside NJ 07205-1843 Ph: (908) 718-1840 | Revive & Thrive Counseling Llc 1401 Doremus Pl Hillside NJ 07205-1844 Ph: (908) 718-1840 |
| NPI Number | 1164205704 |
|---|---|
| Provider Enumeration Date | 08/16/2023 |
| Last Update Date | 09/05/2023 |
| Certification Date | 08/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164205704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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