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Revive Counseling And Wellness
Adolescent and Children Mental Health Clinic/Center in South Bend, Indiana
NPI 1619509080

Revive Counseling And Wellness is an Adolescent and Children Mental Health Clinic/Center based in South Bend, IN and is specialized in Adolescent and Children Mental Health. Revive Counseling And Wellness practices in South Bend, IN. The NPI Number for Revive Counseling And Wellness is 1619509080 and holds a License No. (Indiana).

The current practice location address for Revive Counseling And Wellness is 317 S Eddy St, South Bend, IN and can be reached out via phone at 219-379-4362.

Location: 317 S Eddy St, South Bend, IN, 46617-3201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619509080
Provider Name
Revive Counseling And Wellness
Credential
Provider Entity Type
Organization
Address
317 S Eddy St, South Bend, IN, 46617-3201
Phone Number
219-379-4362
Fax Number
Provider Enumeration Date
02/04/2020
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
317 S Eddy St
City
South Bend
State
Indiana
Zip
46617-3201
Phone Number
219-379-4362
Fax Number
person
Provider Business Mailing Address Details
Address
317 S Eddy St
City
South Bend
State
Indiana
Zip
46617-3201
Phone Number
219-379-4362
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
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 4
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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