| Revitalize Counseling Llc | |
|
2675 Howard Cmns Apt 5 Howard WI 54313-9378 | |
| (920) 288-5280 | |
| Not Available |
| Full Name | Revitalize Counseling Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2675 Howard Cmns Apt 5, Howard, Wisconsin |
| Authorized Official Name and Position | Abigail Russell (OWNER) |
| Authorized Official Contact | 9202285280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revitalize Counseling Llc 2675 Howard Cmns Apt 5 Howard WI 54313-9378 Ph: (920) 288-5280 | Revitalize Counseling Llc 2675 Howard Cmns Apt 5 Howard WI 54313-9378 Ph: (920) 288-5280 |
| NPI Number | 1477424984 |
|---|---|
| Provider Enumeration Date | 09/16/2025 |
| Last Update Date | 09/22/2025 |
| Certification Date | 09/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477424984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |