| NPI | 1255930467 |
|---|---|
| Doing Business As | REVIVE COUNSELING AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | JESSICA BECKA Owner/Employee 440-622-7444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health | |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2024-05-10 |