Organization
REVELATION TREE COUNSELING AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY A KELLUM LPC MHSP, NCC (THERAPIST/CEO)
(901) 586-6317
Entity
Organization
Contact information
Practice address
3865 BEAVER RD, MUNFORD, TN 38058
(901) 586-6317
(901) 296-0041
Mailing address
PO BOX 170, BURLISON, TN 38015-0170
(901) 586-6317
(901) 370-3258
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4022
TN
Other
Enumeration date
08/23/2018
Last updated
03/06/2026
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