Revitalizing Lifestyle Medicine Llc - Mental Health Clinic in Kissimmee, FL

Revitalizing Lifestyle Medicine Llc is a mental health clinic (Counselor - Mental Health) in Kissimmee, Florida. The current practice location for Revitalizing Lifestyle Medicine Llc is 111 E Monument Ave Unit 324, Kissimmee, Florida. For appointments, you can reach them via phone at (321) 442-0192. The mailing address for Revitalizing Lifestyle Medicine Llc is 111 E Monument Ave Unit 324, Kissimmee, Florida and phone number is (321) 442-0192.

Revitalizing Lifestyle Medicine Llc is licensed to practice in * (Not Available) (license number ) and its NPI number is 1598542763. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (321) 442-0192.

Contact Information

Revitalizing Lifestyle Medicine Llc
111 E Monument Ave Unit 324
Kissimmee
FL 34741-5771
(321) 442-0192
(321) 319-9730

Mental Health Clinic Profile

Full NameRevitalizing Lifestyle Medicine Llc
SpecialityCounselor - Mental Health
Location111 E Monument Ave Unit 324, Kissimmee, Florida
Authorized Official Name and PositionMichael Mcgowan (OWNER)
Authorized Official Contact3214420192
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Revitalizing Lifestyle Medicine Llc
111 E Monument Ave Unit 324
Kissimmee
FL 34741-5771

Ph: (321) 442-0192
Revitalizing Lifestyle Medicine Llc
111 E Monument Ave Unit 324
Kissimmee
FL 34741-5771

Ph: (321) 442-0192

NPI Details:

NPI Number1598542763
Provider Enumeration Date09/12/2023
Last Update Date11/13/2023
Certification Date11/13/2023

Medical Identifiers

Medical identifiers for Revitalizing Lifestyle Medicine Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598542763NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Primary

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› Verified 1 days ago

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