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Organization
REVIVE FAMILY COUNSELING, L.L.C.
Active
Organization
REVIVE FAMILY COUNSELING, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EDITA HALL MS (LMFT)
(239) 329-9264
Entity
Organization
Contact information
Practice address
8981 DANIELS CENTER DR STE 209, FORT MYERS, FL 33912-0308
(239) 329-9264
Mailing address
13852 ROSEWATER CT, FORT MYERS, FL 33913-0057
(239) 329-9264
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
10/28/2021
Last updated
11/18/2025
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