Revisions Counseling And Psychotherapy, Llc

NPI 1124394648 - Counselor - 101Y00000X

NPI Details
NPI 1124394648
Enumeration Date 03/29/2012
Last Updated 03/29/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name MICHAEL G. MICHAEL
Position MANAGER/SOLE PROPRIETOR
Phone (813) 453-7074
Fax (813) 961-5919
Practice Location
4929 VAN DYKE RD
LUTZ FL, 33558-4813, US
Phone (813) 453-7074
Fax (813) 961-5919
Business Location
4929 VAN DYKE RD
LUTZ FL, 33558-4813, US
Phone (813) 453-7074
Fax (813) 961-5919
Toxanomy
Taxonomy Code 101Y00000X
License State
License Number
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According to our database, Revisions Counseling And Psychotherapy, Llc NPI is 1124394648, taxonomy code is 101Y00000X Revisions Counseling And Psychotherapy, Llc physically located at 4929 Van Dyke Rd, Lutz FL, 33558-4813. NPI Number 1033115704 has the healthcare provider type.

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1124394648 NPI number is provided on an as is basis without warranty of any kind. 1124394648 is maintained by the National Plan & Provider Enumeration System. The contents of Revisions Counseling And Psychotherapy, Llc are for informational purposes only.