| Revitalize Counseling Services Llc | |
|
1486 Kenwood Dr Ste 101 Menasha WI 54952-1133 | |
| (920) 284-7950 | |
| Not Available |
| Full Name | Revitalize Counseling Services Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1486 Kenwood Dr Ste 101, Menasha, Wisconsin |
| Authorized Official Name and Position | Katherine Jo Saint (OWNER) |
| Authorized Official Contact | 9202847950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revitalize Counseling Services Llc 1486 Kenwood Dr Ste 101 Menasha WI 54952-1133 Ph: (920) 284-7950 | Revitalize Counseling Services Llc 1486 Kenwood Dr Ste 101 Menasha WI 54952-1133 Ph: (920) 284-7950 |
| NPI Number | 1073401295 |
|---|---|
| Provider Enumeration Date | 06/26/2025 |
| Last Update Date | 06/26/2025 |
| Certification Date | 06/26/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073401295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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