Revisions Counseling and Psychotherapy, LLC

NPI #1124394648 in Lutz, Florida

Provider Information

NPI Number: 1124394648
Entity Type: Organization
Organization Name: Revisions Counseling and Psychotherapy, LLC
Primary Specialty: Counselor
Enumeration Date: Mar 29, 2012
Last Updated: Mar 29, 2012

Practice Location

Address: 4929 VAN DYKE RD
City: Lutz
State: Florida
ZIP Code: 33558-4813
Phone: (813) 453-7074

Authorized Official

Name: DR. MICHAEL G. TRUSTY, MA, PHD
Title: MANAGER/SOLE PROPRIETOR
Phone: (813) 453-7074

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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