# REVIVE HEALTH CONSULTING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861261372
- **Authorized official:** MR. KYLE R SPADING LMHC, CRC (OWNER)
- **Authorized official phone:** (319) 961-0161

## Contact information

- **Practice address:** 628 S DUBUQUE ST APT 105, IOWA CITY, IA 52240-4319
- **Practice address phone:** (319) 961-0161
- **Mailing address:** 628 S DUBUQUE ST APT 105, IOWA CITY, IA 52240-4319
- **Mailing address phone:** (319) 961-0161

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 12/26/2023
- **Last updated:** 10/07/2024