Revive Counseling

NPI #1063082840 in Madison, Alabama

Provider Information

NPI Number: 1063082840
Entity Type: Organization
Organization Name: Revive Counseling
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jun 25, 2021
Last Updated: Jun 25, 2021

Practice Location

Address: 9238 MADISON BLVD STE 116
City: Madison
State: Alabama
ZIP Code: 35758-9112
Phone: (920) 948-4535

Authorized Official

Name: AMBER DALLMAN, LCSW, PIP
Title: THERAPIST/OWNER
Phone: (920) 948-4535

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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