| Revivify Counseling, Llc | |
|
43 Center St Ste 304 Northampton MA 01060-3062 | |
| (413) 337-0300 | |
| (413) 337-0370 |
| Full Name | Revivify Counseling, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 43 Center St Ste 304, Northampton, Massachusetts |
| Authorized Official Name and Position | Nicole Gamache (OWNER/SOLO PROVIDER) |
| Authorized Official Contact | 4133370300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revivify Counseling, Llc 161 Northampton St Apt C Easthampton MA 01027-1059 Ph: () - | Revivify Counseling, Llc 43 Center St Ste 304 Northampton MA 01060-3062 Ph: (413) 337-0300 |
| NPI Number | 1346036209 |
|---|---|
| Provider Enumeration Date | 04/17/2025 |
| Last Update Date | 04/17/2025 |
| Certification Date | 04/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346036209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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