| Revive Wellness Llc | |
|
802 Bacon St Pekin IL 61554-4534 | |
| (309) 219-5057 | |
| Not Available |
| Full Name | Revive Wellness Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 802 Bacon St, Pekin, Illinois |
| Authorized Official Name and Position | Haley B Robbins (CO/OWNER / THERAPIST) |
| Authorized Official Contact | 3092195057 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Wellness Llc 802 Bacon St Pekin IL 61554-4534 Ph: (309) 219-5057 | Revive Wellness Llc 802 Bacon St Pekin IL 61554-4534 Ph: (309) 219-5057 |
| NPI Number | 1215780101 |
|---|---|
| Provider Enumeration Date | 04/09/2024 |
| Last Update Date | 11/04/2024 |
| Certification Date | 11/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215780101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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