Organization
REVIVE LIFE MINISTRIES, INC.
Active
Other names
CrossPointe Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM GAMMON LCPC (PRESIDENT)
(270) 215-1827
Entity
Organization
Contact information
Practice address
920 FREDERICA ST STE 105, OWENSBORO, KY 42301-3076
(270) 215-1827
(270) 215-5747
Mailing address
PO BOX 322, OWENSBORO, KY 42302-0322
(270) 215-1827
(270) 215-5747
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
18402
KY
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/09/2017
Last updated
12/08/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up