Organization
REVIVE RELATIONSHIP THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEMARY VIA LPC (OWNER)
(717) 888-0173
Entity
Organization
Contact information
Practice address
4300 GARDEN VW, WILLIAMSBURG, VA 23188-7262
(717) 888-0173
Mailing address
4300 GARDEN VW, WILLIAMSBURG, VA 23188-7262
(717) 888-0173
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/24/2017
Last updated
02/22/2024
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