| Revital Path Counseling Llc | |
|
24425 Holly Dr Plaquemine LA 70764-3874 | |
| (225) 776-7156 | |
| Not Available |
| Full Name | Revital Path Counseling Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 24425 Holly Dr, Plaquemine, Louisiana |
| Authorized Official Name and Position | Bobbi Jordan (OWNER/THERAPIST) |
| Authorized Official Contact | 2257767156 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revital Path Counseling Llc Po Box 84 Plaquemine LA 70765-0084 Ph: (225) 776-7156 | Revital Path Counseling Llc 24425 Holly Dr Plaquemine LA 70764-3874 Ph: (225) 776-7156 |
| NPI Number | 1275425456 |
|---|---|
| Provider Enumeration Date | 07/21/2025 |
| Last Update Date | 07/21/2025 |
| Certification Date | 07/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275425456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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