Revels, Perry
Revels, Perry is an individual health care provider with primary practice located at 1705 Felicia Ave , Tallulah LA 71282-8203. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Revels, Perry can be contacted via phone (318) 574-1232.Contact Information
Primary practice address
1705 Felicia Ave
Tallulah LA 71282-8203
Phone: (318) 574-1232
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | PLC9496 | Louisiana |
Profile Details
| NPI number | 1518313394 |
|---|---|
| LBN Legal business name | Revels, Perry |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2016 |
| Last updated | Mar 21st, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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