Revamped Relationships

LBN: Revamped Relationships
Revamped Relationships is an health care organization with primary practice located at 631 N Carroll Pkwy Apt 209 , Glenwood IL 60425-1161. 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. Revamped Relationships can be contacted via phone (708) 637-6760, or through Shelby, Jalissa via phone (773) 517-3504.

Contact Information

Primary practice address
631 N Carroll Pkwy Apt 209 Glenwood IL 60425-1161
Phone: (708) 637-6760
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shelby, Jalissa LCPC
Phone: (773) 517-3504

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1952062770
LBN Legal business name Revamped Relationships
DBA Doing business as
Authorized official Shelby, Jalissa LCPC
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2022
Last updated Jan 4th, 2022 - 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.

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