Revitalize Consulting Group, Inc.

NPI #1013535145 in Nampa, Idaho

Provider Information

NPI Number: 1013535145
Entity Type: Organization
Organization Name: Revitalize Consulting Group, Inc.
Primary Specialty: Counselor - Professional
Enumeration Date: Jul 6, 2020
Last Updated: Dec 2, 2025

Practice Location

Address: 202 S MIDLAND BLVD
City: Nampa
State: Idaho
ZIP Code: 83686-2602
Phone: (208) 977-3077

Authorized Official

Name: LAURA L SANDER, LPC
Title: PRESIDENT/OWNER
Phone: (208) 997-3077

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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