Whalio Doctors

NPI 1336558204

Revive Counseling & Consulting, LLC

Organisation Marriage & Family Therapist Atlanta, GA

Practice location

Address
750 Hammond Dr Building 4, Suite 300, Atlanta, GA 30328-5532
Phone
(404) 590-6005

Authorised official

Name
Lauren Baker
Title
Owner/ Therapist
Phone
(404) 590-6005

Registered specialties (2)

Marriage & Family Therapist Primary
Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence MFT001272 (GA)
Professional Counselor
Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence LPC007169 (GA)

Registry record

NPI
1336558204
Entity type
Organization
NPI issued
5 Aug 2014
Record last updated
5 Aug 2014

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.