| Reviresco Counseling, Llc | |
|
104 East Park Drive Building 300 Brentwood TN 37027 | |
| (615) 538-5830 | |
| (949) 404-6194 |
| Full Name | Reviresco Counseling, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 104 East Park Drive, Brentwood, Tennessee |
| Authorized Official Name and Position | Sarah Lynn Wendell (OWNER) |
| Authorized Official Contact | 6155385830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reviresco Counseling, Llc 104 East Park Drive Building 300 Brentwood TN 37027 Ph: (615) 538-5830 | Reviresco Counseling, Llc 104 East Park Drive Building 300 Brentwood TN 37027 Ph: (615) 538-5830 |
| NPI Number | 1720705825 |
|---|---|
| Provider Enumeration Date | 10/20/2022 |
| Last Update Date | 10/20/2022 |
| Certification Date | 10/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720705825 | NPI | - | NPPES |
| 1972003036 | Other | TN | REVIRESCO COUNSELING, LLC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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