Individual
DR. PERRY REVELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1705 FELICIA AVE, TALLULAH, LA 71282-8203
(318) 574-1232
Mailing address
1705 FELICIA AVE, TALLULAH, LA 71282-8203
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PLC9496
LA
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/10/2016
Last updated
03/21/2023
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