Reviresco Counseling, Llc | |
104 East Park Drive Building 300 Brentwood TN 37027 | |
(615) 538-5830 | |
(949) 404-6194 |
Full Name | Reviresco Counseling, Llc |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 104 East Park Drive, Brentwood, Tennessee |
Authorized Official Name and Position | Sarah Lynn Wendell (OWNER) |
Authorized Official Contact | 6155385830 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Reviresco Counseling, Llc 104 East Park Drive Building 300 Brentwood TN 37027 Ph: (615) 538-5830 | Reviresco Counseling, Llc 104 East Park Drive Building 300 Brentwood TN 37027 Ph: (615) 538-5830 |
NPI Number | 1720705825 |
---|---|
Provider Enumeration Date | 10/20/2022 |
Last Update Date | 10/20/2022 |
Certification Date | 10/20/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720705825 | NPI | - | NPPES |
1972003036 | Other | TN | REVIRESCO COUNSELING, LLC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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