Revive Wellco
NPI #1851070882 in Clarksville, Tennessee
Provider Information
- NPI Number
- 1851070882
- Entity Type
- Organization
- Organization Name
- Revive Wellco
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jul 17, 2023
- Last Updated
- Oct 18, 2024
Practice Location
- Address
- 518 LATHAM CT.
- City
- Clarksville
- State
- Tennessee
- ZIP Code
- 37043
- Phone
- (501) 318-3760
Authorized Official
- Name
- JENNIFER SCHALOW, LPC-S
- Title
- CEO
- Phone
- (501) 318-3760
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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