Revealed Pllc

LBN: Revealed Pllc
Revealed Pllc is an health care organization with primary practice located at 2309 W Long Shadow Trl , Phoenix AZ 85085-6084. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Nutrition, Education. Behavioral Health & Social Service Providers / Professional is the primary health care specialty. Revealed Pllc can be contacted via phone (907) 590-5015, or through Simmons, Melodie via phone (907) 590-5015.

Contact Information

Primary practice address
2309 W Long Shadow Trl Phoenix AZ 85085-6084
Phone: (907) 590-5015
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Simmons, Melodie MS, LPC, CEDS-S
Phone: (907) 590-5015

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Dietary & Nutritional Service Providers / Nutritionist 133N00000X
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X

Profile Details

NPI number 1184310732
LBN Legal business name Revealed Pllc
DBA Doing business as
Authorized official Simmons, Melodie MS, LPC, CEDS-S
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2023
Last updated Apr 17th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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