# REVITALIZING LIVES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brooke Winslow, LSCSW, LMAC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447939723
- **Authorized official:** BROOKE ANN WINSLOW LSCSW LMAC (OWNER)
- **Authorized official phone:** (316) 217-8922

## Contact information

- **Practice address:** 2801 W 13TH ST N, WICHITA, KS 67203-1820
- **Practice address phone:** (316) 217-8922
- **Practice address fax:** (316) 339-0687
- **Mailing address:** 2801 W 13TH ST N, WICHITA, KS 67203-1820
- **Mailing address phone:** (316) 217-8922
- **Mailing address fax:** (316) 339-0687

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |
| 106H00000X | Marriage & Family Therapist | — | NULL | — |
| 106H00000X | Marriage & Family Therapist | — | — | — |

## Other

- **Enumeration date:** 07/14/2023
- **Last updated:** 07/14/2023