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Organization
REVITALIZING LIVES LLC
Active
Organization
REVITALIZING LIVES LLC
Active
Other names
Brooke Winslow, LSCSW, LMAC
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE ANN WINSLOW LSCSW LMAC (OWNER)
(316) 217-8922
Entity
Organization
Contact information
Practice address
2801 W 13TH ST N, WICHITA, KS 67203-1820
(316) 217-8922
(316) 339-0687
Mailing address
2801 W 13TH ST N, WICHITA, KS 67203-1820
(316) 217-8922
(316) 339-0687
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
NULL
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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