Organization
REVITAL PATH COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOBBI JORDAN LPC,NCC (OWNER/THERAPIST)
(225) 776-7156
Entity
Organization
Contact information
Practice address
24425 HOLLY DR, PLAQUEMINE, LA 70764-3874
(225) 776-7156
Mailing address
PO BOX 84, PLAQUEMINE, LA 70765-0084
(225) 776-7156
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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