Revita Therapy & Wellness

NPI #1851057269 in Montgomery, Alabama

Provider Information

NPI Number: 1851057269
Entity Type: Organization
Organization Name: Revita Therapy & Wellness
Primary Specialty: Counselor - Mental Health
Enumeration Date: Nov 10, 2021
Last Updated: Sep 20, 2023

Practice Location

Address: 2740 CENTRAL PKWY STE 2
City: Montgomery
State: Alabama
ZIP Code: 36106-3243
Phone: (334) 294-7341

Authorized Official

Name: MRS. CANDYCE ANDERSON, LPC
Title: OWNER
Phone: (334) 294-7341

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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