Revive Family Counseling, L.l.c. | |
10471 6 Mile Cypress Pkwy Ste 4011 Fort Myers FL 33966-6973 | |
(239) 673-0600 | |
Not Available |
Full Name | Revive Family Counseling, L.l.c. |
---|---|
Speciality | Counselor - Mental Health |
Location | 10471 6 Mile Cypress Pkwy Ste 4011, Fort Myers, Florida |
Authorized Official Name and Position | Edita Hall (LMFT) |
Authorized Official Contact | 2396730600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Revive Family Counseling, L.l.c. 11689 Canopy Loop Fort Myers FL 33913-9458 Ph: (239) 673-0600 | Revive Family Counseling, L.l.c. 10471 6 Mile Cypress Pkwy Ste 4011 Fort Myers FL 33966-6973 Ph: (239) 673-0600 |
NPI Number | 1881358455 |
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Provider Enumeration Date | 10/28/2021 |
Last Update Date | 10/28/2021 |
Certification Date | 10/28/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881358455 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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