Revitalize LLC
NPI #1508649955 in Spring Hill, Florida
Provider Information
- NPI Number
- 1508649955
- Entity Type
- Organization
- Organization Name
- Revitalize LLC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Aug 17, 2023
- Last Updated
- Aug 17, 2023
Practice Location
- Address
- 6149 DELTONA BLVD
- City
- Spring Hill
- State
- Florida
- ZIP Code
- 34606-1000
- Phone
- (352) 606-0323
Authorized Official
- Name
- DORY RICHARDS, LMFT
- Title
- OWNER
- Phone
- (352) 606-0323
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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