Organization
REVIVE COUNSELING & WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GAIL BIBB LCSW, LMFT (CEO, PSYCHOTHERAPIST)
(502) 632-3282
Entity
Organization
Contact information
Practice address
308 EVERGREEN RD STE 140, LOUISVILLE, KY 40243-1076
(502) 632-3282
Mailing address
308 EVERGREEN RD STE 140, LOUISVILLE, KY 40243-1076
(502) 632-3282
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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