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Organization
REVIVE & THRIVE COUNSELING
Active
Organization
REVIVE & THRIVE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA SKIRKA (OWNER)
(732) 404-7990
Entity
Organization
Contact information
Practice address
525 ROUTE 73, SUITE 104, MARLTON, NJ 08053
(732) 404-7990
Mailing address
440 US HIGHWAY 130 SOUTH STE 11, #1025, EAST WINDSOR, NJ 08520
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
1041S0200X
School Social Worker
—
—
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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