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Organization
REVIVE TO THRIVE WELLNESS CENTER, PLLC
Active
Organization
REVIVE TO THRIVE WELLNESS CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY ANN PARKER MA, MSLPC, LCDC (OWNER, LEAD THERAPIST)
(972) 885-8365
Entity
Organization
Contact information
Practice address
5050 QUORUM DR STE 700, DALLAS, TX 75254-1410
(972) 885-8365
Mailing address
5050 QUORUM DR STE 700, DALLAS, TX 75254-1410
(972) 885-8365
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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