| Life Revive Counseling, Llc | |
|
64501 232nd St Glenwood IA 51534-5008 | |
| (402) 660-7454 | |
| (712) 355-5234 |
| Full Name | Life Revive Counseling, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 64501 232nd St, Glenwood, Iowa |
| Authorized Official Name and Position | Angela Marie Clark (COUNSELOR) |
| Authorized Official Contact | 4026607454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Revive Counseling, Llc 1001 N 29th St Council Bluffs IA 51501-0755 Ph: (402) 660-7454 | Life Revive Counseling, Llc 64501 232nd St Glenwood IA 51534-5008 Ph: (402) 660-7454 |
| NPI Number | 1326731829 |
|---|---|
| Provider Enumeration Date | 05/31/2023 |
| Last Update Date | 05/31/2023 |
| Certification Date | 05/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326731829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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