Organization
REVISE COUNSELING & CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY MASON PHD, LPC, ALPS (OWNER)
(304) 205-1988
Entity
Organization
Contact information
Practice address
5324 MACCORKLE AVE SE STE A, CHARLESTON, WV 25304-2200
(304) 205-1988
Mailing address
PO BOX 4041, CHARLESTON, WV 25364-4041
(304) 205-1988
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/12/2026
Last updated
06/12/2026
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