Revolution Counseling Services Llc
LBN: Revolution Counseling Services Llc
Revolution Counseling Services Llc is an health care organization with primary practice located at 601 Brady St Ste 204 , Davenport IA 52803-5251. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty.
Revolution Counseling Services Llc can be contacted via phone (309) 781-4053, or through Stearns-Lamb, Kari Lee via phone (309) 781-4053.
Contact Information
Primary practice address
601 Brady St Ste 204
Davenport IA 52803-5251
Phone: (309) 781-4053
Fax: (309) 792-2440
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 078821 | Iowa |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149019131 | Illinois |
Profile Details
| NPI number | 1093201444 |
|---|---|
| LBN Legal business name | Revolution Counseling Services Llc |
| DBA Doing business as | |
| Authorized official | Stearns-Lamb, Kari Lee LCSW, LISW |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 9th, 2018 |
| Last updated | Jul 9th, 2018 - about 6 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 | 1093201444 | NPPES |
| Iowa | MEDICAID | 1831565290 |
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