Organization
REVIVE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER DALLMAN LCSW, PIP (THERAPIST/OWNER)
(920) 948-4535
Entity
Organization
Contact information
Practice address
9238 MADISON BLVD STE 116, MADISON, AL 35758-9112
(920) 948-4535
(256) 542-3289
Mailing address
9238 MADISON BLVD STE 116, MADISON, AL 35758-9112
(920) 948-4535
(256) 542-3289
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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