Revis, Maricon

Revis, Maricon is an individual health care provider with primary practice located at 4722 Taft Blvd Ste 2 , Wichita Falls TX 76308-4800. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Revis, Maricon can be contacted via phone (940) 691-1899.

Contact Information

Primary practice address
4722 Taft Blvd Ste 2 Wichita Falls TX 76308-4800
Phone: (940) 691-1899
Fax: (940) 691-3423
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X 81717 Texas

Profile Details

NPI number 1972847945
LBN Legal business name Revis, Maricon
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2012
Last updated Jun 17th, 2022 - about 2 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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