Revive Counseling LLC

NPI #1255009783 in Skokie, Illinois

Provider Information

NPI Number: 1255009783
Entity Type: Organization
Organization Name: Revive Counseling LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Aug 31, 2021
Last Updated: Aug 31, 2021

Practice Location

Address: 8052 MONTICELLO AVE UNIT 103
City: Skokie
State: Illinois
ZIP Code: 60076-3438
Phone: (773) 609-1758

Authorized Official

Name: GUADALUPE MAYA-VESKOVIC, LCSW
Title: FOUNDER
Phone: (773) 609-1758

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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