| NPI | 1306515317 |
|---|---|
| Former Legal Business Name | REVIVE COUNSELING LLC |
| Entity Type | Organization |
| Authorized Contact | ARIANNA FERNANDEZ Owner/Therapist 954-279-6324 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2021-09-13 |