Organization
REVITALIZE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABIGAIL RUSSELL LCSW (OWNER)
(920) 228-2580
Entity
Organization
Contact information
Practice address
2675 HOWARD CMNS APT 5, HOWARD, WI 54313-9378
(920) 288-5280
Mailing address
2675 HOWARD CMNS APT 5, HOWARD, WI 54313-9378
(920) 288-2580
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/16/2025
Last updated
11/05/2025
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