| Revive Yourself Counseling Services Llc | |
|
11757 Shirburn Cir Parrish FL 34219-7508 | |
| (813) 502-0745 | |
| Not Available |
| Full Name | Revive Yourself Counseling Services Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 11757 Shirburn Cir, Parrish, Florida |
| Authorized Official Name and Position | Fay Lino (LICENSED MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 9415655184 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Yourself Counseling Services Llc 11757 Shirburn Cir Parrish FL 34219-7508 Ph: () - | Revive Yourself Counseling Services Llc 11757 Shirburn Cir Parrish FL 34219-7508 Ph: (813) 502-0745 |
| NPI Number | 1861198905 |
|---|---|
| Provider Enumeration Date | 01/31/2023 |
| Last Update Date | 01/31/2023 |
| Certification Date | 01/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861198905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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