| NPI | 1386405645 |
|---|---|
| Doing Business As | ANGELA REVERCOMB LPC LLC |
| Entity Type | Organization |
| Authorized Contact | ANGELA REVERCOMB Owner/Provider 804-955-8617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-01-23 |
| Last Update Date | 2024-01-23 |