# REVIVE WELLNESS FAMILY COUNSELING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386218980
- **Authorized official:** MS. WENDY NUNO LMFT (OWNER)
- **Authorized official phone:** (323) 449-4040

## Contact information

- **Practice address:** 180 E 35TH ST, LOS ANGELES, CA 90011-2315
- **Practice address phone:** (323) 449-4040
- **Mailing address:** 2726 BRIGHTON AVE, LOS ANGELES, CA 90018-3117
- **Mailing address phone:** (213) 422-5393

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 05/18/2021
- **Last updated:** 05/18/2021