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Organization
REVITALIZE COUNSELING
Active
Organization
REVITALIZE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHELSEA PIGEON MA, LMHC (OWNER, CLINICIAN)
(239) 896-6984
Entity
Organization
Contact information
Practice address
10491 BEN C PRATT/6 MILE CYPRESS PKWY STE 250, FORT MYERS, FL 33966-6514
(239) 896-6984
Mailing address
10491 BEN C PRATT/6 MILE CYPRESS PKWY STE 250, FORT MYERS, FL 33966-6514
(239) 896-6984
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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