Revive Yourself Counseling Services LLC

NPI #1861198905 in Parrish, Florida

Provider Information

NPI Number: 1861198905
Entity Type: Organization
Organization Name: Revive Yourself Counseling Services LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jan 31, 2023
Last Updated: Jan 31, 2023

Practice Location

Address: 11757 SHIRBURN CIR
City: Parrish
State: Florida
ZIP Code: 34219-7508
Phone: (813) 502-0745

Authorized Official

Name: FAY LINO
Title: LICENSED MENTAL HEALTH THERAPIST
Phone: (941) 565-5184

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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