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Life Revive Counseling, Llc
Adolescent and Children Mental Health Clinic/Center in Glenwood, Iowa
NPI 1326731829

Life Revive Counseling, Llc is an Adolescent and Children Mental Health Clinic/Center based in Council Bluffs, IA and is specialized in Adolescent and Children Mental Health. Life Revive Counseling, Llc practices in Glenwood, IA. The NPI Number for Life Revive Counseling, Llc is 1326731829 and holds a License No. (Iowa).

The current practice location address for Life Revive Counseling, Llc is 64501 232Nd St, Glenwood, IA and can be reached out via phone at 402-660-7454 and via fax at 712-355-5234.

Location: 64501 232Nd St, Glenwood, IA, 51501-0755
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326731829
Provider Name
Life Revive Counseling, Llc
Credential
Provider Entity Type
Organization
Address
64501 232Nd St, Glenwood, IA, 51501-0755
Phone Number
402-660-7454
Fax Number
712-355-5234
Provider Enumeration Date
05/31/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
64501 232Nd St
City
Glenwood
State
Iowa
Zip
51534-5008
Phone Number
402-660-7454
Fax Number
712-355-5234
person
Provider Business Mailing Address Details
Address
64501 232Nd St
City
Glenwood
State
Iowa
Zip
51534-5008
Phone Number
402-660-7454
Fax Number
712-355-5234
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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