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Organization

REVITALIZING LIVES LLC

Active
Other names
Brooke Winslow, LSCSW, LMAC
Organization subpart
No

Provider details

NPI number
Authorized official
BROOKE ANN WINSLOW LSCSW LMAC (OWNER)
(316) 217-8922
Entity
Organization

Contact information

Practice address
2801 W 13TH ST N, WICHITA, KS 67203-1820
(316) 217-8922
(316) 339-0687
Mailing address
2801 W 13TH ST N, WICHITA, KS 67203-1820
(316) 217-8922
(316) 339-0687

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
106H00000X
Marriage & Family Therapist

Other

Enumeration date
07/14/2023
Last updated
07/14/2023
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