Organization
REVIVE THERAPY, LLC
Active
Other names
Bloom Therapy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NINA GRACE SINGH LPC (LICENSED PROFESSIONAL COUNSELORS)
(864) 323-6414
Entity
Organization
Contact information
Practice address
104 MAXWELL AVE STE 208, GREENWOOD, SC 29646-2641
(864) 495-3131
(864) 495-3132
Mailing address
104 MAXWELL AVE STE 208, GREENWOOD, SC 29646-2641
(864) 495-3131
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/18/2021
Last updated
01/20/2022
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