Revitalife Therapy & Counseling Llc

LBN: Revitalife Therapy & Counseling Llc
Revitalife Therapy & Counseling Llc is an health care organization with primary practice located at 1101 Executive Blvd Ste B , Chesapeake VA 23320-3634. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Revitalife Therapy & Counseling Llc can be contacted via phone (252) 231-2668, or through Ward, Robby via phone (252) 231-2668.

Contact Information

Primary practice address
1101 Executive Blvd Ste B Chesapeake VA 23320-3634
Phone: (252) 231-2668
Fax: (252) 377-4231
Website:
Map and Directions
Authorized official contact:
Name: Ward, Robby
Phone: (252) 231-2668

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Counseling 103TC1900X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1811527500
LBN Legal business name Revitalife Therapy & Counseling Llc
DBA Doing business as
Authorized official Ward, Robby
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2020
Last updated Jan 22nd, 2020 - about 4 years ago

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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