| Revive Family Counseling, L.l.c. | |
|
8981 Daniels Center Dr Ste 209 Fort Myers FL 33912-0308 | |
| (239) 329-9264 | |
| Not Available |
| Full Name | Revive Family Counseling, L.l.c. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 8981 Daniels Center Dr Ste 209, Fort Myers, Florida |
| Authorized Official Name and Position | Edita Hall (LMFT) |
| Authorized Official Contact | 2393299264 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Family Counseling, L.l.c. 13852 Rosewater Ct Fort Myers FL 33913-0057 Ph: (239) 329-9264 | Revive Family Counseling, L.l.c. 8981 Daniels Center Dr Ste 209 Fort Myers FL 33912-0308 Ph: (239) 329-9264 |
| NPI Number | 1881358455 |
|---|---|
| Provider Enumeration Date | 10/28/2021 |
| Last Update Date | 09/15/2025 |
| Certification Date | 09/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881358455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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