Organization
REVIVE COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY HUMPHREY LCPC (THERAPIST)
(620) 675-0040
Entity
Organization
Contact information
Practice address
801 N MAIN ST STE 2, GARDEN CITY, KS 67846-5436
(620) 675-0040
(844) 645-1452
Mailing address
PO BOX 1911, GARDEN CITY, KS 67846-1912
(620) 675-0040
(844) 645-1452
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/04/2021
Last updated
07/22/2025
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