Organization
REVISIONS COUNSELING AND PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL G. TRUSTY MA, PHD (MANAGER/SOLE PROPRIETOR)
(813) 453-7074
Entity
Organization
Contact information
Practice address
4929 VAN DYKE RD, LUTZ, FL 33558-4813
(813) 453-7074
(813) 961-5919
Mailing address
4929 VAN DYKE RD, LUTZ, FL 33558-4813
(813) 453-7074
(813) 961-5919
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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