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Organization
REV THERAPY
Active
Organization
REV THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR GOSNELL LCMHC (OWNER/EMPLOYEE)
(828) 367-9268
Entity
Organization
Contact information
Practice address
5 DOCTORS PARK STE B, ASHEVILLE, NC 28801-4520
(706) 968-9353
Mailing address
26 HERRON AVE, ASHEVILLE, NC 28806-3436
(706) 968-9353
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205556792
18019
NC
Enumeration date
02/10/2025
Last updated
02/11/2025
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