Revive Counseling Llc
LBN: Revive Counseling Llc
Revive Counseling Llc is an health care organization with primary practice located at 8052 Monticello Ave Unit 103 , Skokie IL 60076-3438. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty.
Revive Counseling Llc can be contacted via phone (773) 609-1758, or through Maya-Veskovic, Guadalupe via phone (773) 609-1758.
Contact Information
Primary practice address
8052 Monticello Ave Unit 103
Skokie IL 60076-3438
Phone: (773) 609-1758
Fax:
Website:
Authorized official contact:
Name: Maya-Veskovic, Guadalupe Licensed Clinical Social Worker (LCSW)
Phone: (773) 609-1758
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
| NPI number | 1255009783 |
|---|---|
| LBN Legal business name | Revive Counseling Llc |
| DBA Doing business as | |
| Authorized official | Maya-Veskovic, Guadalupe Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 31st, 2021 |
| Last updated | Aug 31st, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255009783 | NPPES |
| Illinois | Other | 1669986915 | SELF-PAY, COMMERCIAL INSURANCE |
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