| Revitalife Therapy & Counseling Llc | |
|
1101 Executive Blvd Ste B Chesapeake VA 23320-3634 | |
| (252) 231-2668 | |
| (252) 377-4231 |
| Full Name | Revitalife Therapy & Counseling Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1101 Executive Blvd Ste B, Chesapeake, Virginia |
| Authorized Official Name and Position | Robby Ward (OWNER) |
| Authorized Official Contact | 2522312668 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revitalife Therapy & Counseling Llc 212 Billetts Bridge Rd Camden NC 27921-7505 Ph: (252) 231-2668 | Revitalife Therapy & Counseling Llc 1101 Executive Blvd Ste B Chesapeake VA 23320-3634 Ph: (252) 231-2668 |
| NPI Number | 1811527500 |
|---|---|
| Provider Enumeration Date | 01/22/2020 |
| Last Update Date | 01/22/2020 |
| Certification Date | 01/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811527500 | NPI | - | NPPES |
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