Organization
REVITALIZED HEALTH AND WELLNESS COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACIE SMITH MS, RD, LD (CO-OWNER)
(281) 794-4539
Entity
Organization
Contact information
Practice address
2539 GRANBERRY PT, MISSOURI CITY, TX 77459-1389
(281) 794-4539
Mailing address
3130 GRANTS LAKE BLVD UNIT 17863, SUGAR LAND, TX 77496-0887
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/04/2022
Last updated
07/04/2022
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