Organization
REVIVE THERAPY AND COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT MATTHEW KLEINHANS LPC-MHSP (OWNER OPERATOR)
(186) 581-6430
Entity
Organization
Contact information
Practice address
3032 SAGEGRASS DR, LOUISVILLE, TN 37777-3572
(186) 581-6430
Mailing address
3032 SAGEGRASS DR, LOUISVILLE, TN 37777-3572
(186) 581-6430
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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