Revitalife Therapy & Counseling Llc
LBN: Revitalife Therapy & Counseling Llc
Revitalife Therapy & Counseling Llc is an health care organization with primary practice located at 1101 Executive Blvd Ste B , Chesapeake VA 23320-3634. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Revitalife Therapy & Counseling Llc can be contacted via phone (252) 231-2668, or through Ward, Robby via phone (252) 231-2668.
Contact Information
Primary practice address
1101 Executive Blvd Ste B
Chesapeake VA 23320-3634
Phone: (252) 231-2668
Fax: (252) 377-4231
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1811527500 |
|---|---|
| LBN Legal business name | Revitalife Therapy & Counseling Llc |
| DBA Doing business as | |
| Authorized official | Ward, Robby |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 22nd, 2020 |
| Last updated | Jan 22nd, 2020 - about 6 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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