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Organization
REVAMP & PREVAIL THERAPY, PLLC
Active
Organization
REVAMP & PREVAIL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA BRUNO LCMHC (PRESIDENT)
(704) 737-8242
Entity
Organization
Contact information
Practice address
1213 W MOREHEAD ST STE 500, CHARLOTTE, NC 28208-5581
(704) 737-8242
Mailing address
1213 W MOREHEAD ST STE 500, CHARLOTTE, NC 28208-5581
(704) 737-8242
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/07/2021
Last updated
04/28/2021
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