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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

REVIVE 180 LLC

Active Organization

REVIVE 180 LLC is a Professional Counselor organization located in POTOSI, Missouri. NPI 1568197556 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · POTOSI, MO

Registration Details

NPI Number
1568197556
Provider Type
Organization
NPI Issued
Jul 22, 2022 (3.8827516948245 yrs)
Last Updated
Dec 11, 2022

Practice Information

Address
10071 CRESCENT RD
POTOSI, MO, 636642040
Browse MO providers · Browse ZIP 63664
Phone
5734389800
Fax
5732409916
Primary Specialty
Professional Counselor
101YP2500X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.