Revive Counseling And Coaching Llc

LBN: Revive Counseling And Coaching Llc
Revive Counseling And Coaching Llc is an health care organization with primary practice located at 1016 John Sims Pkwy E Ste B , Niceville FL 32578-2202. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Revive Counseling And Coaching Llc can be contacted via phone (989) 715-4404, or through Hawkins-Jack, Ruby Lisa via phone (989) 715-4404.

Contact Information

Primary practice address
1016 John Sims Pkwy E Ste B Niceville FL 32578-2202
Phone: (989) 715-4404
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hawkins-Jack, Ruby Lisa Licensed Clinical Social Worker (LCSW)
Phone: (989) 715-4404

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1437871845
LBN Legal business name Revive Counseling And Coaching Llc
DBA Doing business as
Authorized official Hawkins-Jack, Ruby Lisa Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2022
Last updated Sep 13th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1437871845 NPPES
Other 1619233566 INDIVIDUAL NPI

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