Organization · Type 2 NPI
Revitalize Counseling Services LLC
Professional Counselor · Menasha, WI
NPI number
1073401295
Active
Practice location
1486 Kenwood Dr Ste 101
Menasha, WI 54952-1133
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
| Behavior Analyst | 103K00000X | None listed |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1073401295
Revitalize Counseling Services LLC's National Provider Identifier is 1073401295, issued on Jun 26, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Menasha, WI. The record was last updated on Jun 26, 2025.