Organization
REVIVE COUNSELING AND WELLNESS SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTLE WHITE LPC (OWNER, THERAPIST)
(205) 246-1656
Entity
Organization
Contact information
Practice address
2615 6TH ST STE 8, TUSCALOOSA, AL 35401-1727
(205) 246-1656
Mailing address
1105 SOUTHVIEW LN STE 103-115, TUSCALOOSA, AL 35405-6390
(205) 246-1656
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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