Organization
REVITALIZE COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALYSSA VITALI LPCC (DIRECTOR)
(859) 753-0754
Entity
Organization
Contact information
Practice address
460 WILSON AVE, VERSAILLES, KY 40383-1947
(859) 753-6626
(859) 787-0552
Mailing address
411 RYNE CT, VERSAILLES, KY 40383-1390
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/13/2019
Last updated
06/17/2022
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