NPI 1205349586

Revive Life Ministries, INC.

Organisation Community/Behavioral Health Agency Owensboro, KY

Practice location

Address: 920 Frederica St STE 105, Owensboro, KY 42301-3076
Phone: (270) 215-1827
Fax: (270) 215-5747
Mailing address: PO Box 322, Owensboro, KY 42302-0322

Authorised official

Name: William Gammon
Title: President
Phone: (270) 215-1827

Registered specialties (2)

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in Kentucky →

Pastoral Counselor

Behavioral Health & Social Service Providers Taxonomy 101YP1600X Licence 18402 (KY)

Other Counselor providers in Kentucky →

Registry record

NPI: 1205349586
Entity type: Organization
NPI issued: 9 Nov 2017
Record last updated: 8 Dec 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.