Guy, Katherine Revah

Guy, Katherine Revah is an sole proprietor health care provider with primary practice located at 615 Fulmer Rd , Mishawaka IN 46544-6911. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Guy, Katherine Revah can be contacted via phone (574) 274-1162.

Contact Information

Primary practice address
615 Fulmer Rd Mishawaka IN 46544-6911
Phone: (574) 274-1162
Fax: (888) 826-3722
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 39001988A Indiana
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 86000180A Indiana

Profile Details

NPI number 1669764965
LBN Legal business name Guy, Katherine Revah
Credentials L.M.H.C.,L.A.C.,M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2011
Last updated Mar 14th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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