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Organization
REVENIR COUNSELING AND WELLNESS, PLLC
Active
Organization
REVENIR COUNSELING AND WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIXON J. PARNELL LPC (OWNER/SOLE PRACTITIONER)
(901) 262-4577
Entity
Organization
Contact information
Practice address
4131 SPICEWOOD SPRINGS RD STE H2, AUSTIN, TX 78759
(901) 262-4577
(855) 765-7552
Mailing address
4131 SPICEWOOD SPRINGS RD STE H2, AUSTIN, TX 78759-8659
(901) 262-4577
(855) 765-7552
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
71606
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71606
TEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS
TX
Enumeration date
04/21/2018
Last updated
06/25/2018
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