Revitalize Counseling Services LLC
Counselor, Professional in Manchester, New Jersey
1184132094- Practice location
- 2401 Woodland RD, Manchester, NJ 08759-6135
- Phone
- 848-459-5943
- Fax
- —
- Last updated
- January 12, 2018
Revitalize Counseling Services LLC is a healthcare organization based in Manchester, NJ. Revitalize Counseling Services LLC practices in Manchester, NJ. The NPI Number for Revitalize Counseling Services LLC is 1184132094 and holds a License No. 37PC00555800 (NJ). The current practice location address for Revitalize Counseling Services LLC is 2401 Woodland RD, Manchester, NJ 08759-6135 and can be reached out via phone at 848-459-5943.
Provider Profile Details
- NPI Number
- 1184132094
- Provider Name
- Revitalize Counseling Services LLC
- Provider Entity Type
- Organization
- Address
- 2401 Woodland RD, Manchester, NJ 08759-6135
- Phone Number
- 848-459-5943
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Organization Subpart
- No
- Authorized Official
- Mrs. Dana M Gibilisco, MS, LPC, NCC · Ceo · 848-459-5943
- Provider Enumeration Date
- January 12, 2018
- Last Update Date
- January 12, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2401 Woodland RD
Manchester, NJ 08759-6135 - City
- Manchester
- State
- New Jersey
- Zip
- 08759-6135
- Phone Number
- 848-459-5943
Provider Business Mailing Address Details
- Address
- 2401 Woodland RD
Manchester, NJ 08759-6135 - City
- Manchester
- State
- NJ
- Zip
- 08759-6135
- Phone Number
- 848-459-5943
License Information
- License Number
- 37PC00555800
- License State
- NJ
- Taxonomy
- Counselor, Professional · 101YP2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Professional providers near Manchester, NJ
View all Counselor, Professional providers in Manchester →Frequently Asked Questions
What is the NPI number of Revitalize Counseling Services LLC?
The NPI number of Revitalize Counseling Services LLC is 1184132094. It was assigned on January 12, 2018 and is currently active in the NPPES registry.
What is the specialty of Revitalize Counseling Services LLC?
Revitalize Counseling Services LLC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in NJ under license number 37PC00555800.
Where does Revitalize Counseling Services LLC practice?
The practice location is 2401 Woodland RD, Manchester, NJ 08759-6135. The office can be reached at 848-459-5943 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184132094 directly on the NPPES registry website.