Organization
REVIVE HEALTH CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KYLE R SPADING LMHC, CRC (OWNER)
(319) 961-0161
Entity
Organization
Contact information
Practice address
628 S DUBUQUE ST APT 105, IOWA CITY, IA 52240-4319
(319) 961-0161
Mailing address
628 S DUBUQUE ST APT 105, IOWA CITY, IA 52240-4319
(319) 961-0161
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/26/2023
Last updated
10/07/2024
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