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Revitalizing Lifestyle Medicine Llc
Mental Health Counselor in Kissimmee, Florida
NPI 1598542763

Revitalizing Lifestyle Medicine Llc is a Mental Health Counselor based in Kissimmee, FL and is specialized in Mental Health. Revitalizing Lifestyle Medicine Llc practices in Kissimmee, FL. The NPI Number for Revitalizing Lifestyle Medicine Llc is 1598542763 and holds a License No. (Florida).

The current practice location address for Revitalizing Lifestyle Medicine Llc is 111 E Monument Ave Unit 324, Kissimmee, FL and can be reached out via phone at 321-442-0192 and via fax at 321-319-9730.

Location: 111 E Monument Ave Unit 324, Kissimmee, FL, 34741-5771
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1598542763
Provider Name
Revitalizing Lifestyle Medicine Llc
Credential
Provider Entity Type
Organization
Address
111 E Monument Ave Unit 324, Kissimmee, FL, 34741-5771
Phone Number
321-442-0192
Fax Number
321-319-9730
Provider Enumeration Date
09/12/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
111 E Monument Ave Unit 324
City
Kissimmee
State
Florida
Zip
34741-5771
Phone Number
321-442-0192
Fax Number
321-319-9730
person
Provider Business Mailing Address Details
Address
111 E Monument Ave Unit 324
City
Kissimmee
State
Florida
Zip
34741-5771
Phone Number
321-442-0192
Fax Number
321-319-9730
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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