| Revive Therapy And Counseling Services | |
|
3032 Sagegrass Dr Louisville TN 37777-3572 | |
| (186) 581-6430 | |
| Not Available |
| Full Name | Revive Therapy And Counseling Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3032 Sagegrass Dr, Louisville, Tennessee |
| Authorized Official Name and Position | Brett Matthew Kleinhans (OWNER OPERATOR) |
| Authorized Official Contact | 1865816430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Therapy And Counseling Services 3032 Sagegrass Dr Louisville TN 37777-3572 Ph: (186) 581-6430 | Revive Therapy And Counseling Services 3032 Sagegrass Dr Louisville TN 37777-3572 Ph: (186) 581-6430 |
| NPI Number | 1215795471 |
|---|---|
| Provider Enumeration Date | 03/11/2024 |
| Last Update Date | 03/11/2024 |
| Certification Date | 03/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215795471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |