Organization · Type 2 NPI

Revive Wellco

Mental Health Counselor · Clarksville, TN

NPI number 1851070882 Active

Practice location

518 Latham Ct.
Clarksville, TN 37043

Call (501) 318-3760 Map

Mailing address

919 Tiny Town Rd, Suite B #2021
Clarksville, TN 37042-7660

Other practice locations

  • 110 N Royal St Ste 301, Alexandria, VA 22314-3271 · (501) 318-3760

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1851070882

Revive Wellco's National Provider Identifier is 1851070882, issued on Jul 17, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Clarksville, TN. The record was last updated on Oct 18, 2024.