Life Revival Llc is a Counselor Clinic in Philadelphia, Pennsylvania. It is located at 6404 Roosevelt Blvd, Philadelphia, PA and its contact number is 267-577-7747. The authorized person for Life Revival Llc is Dr. Daniel Lee
who is Director of the clinic and his/her contact number is 267-259-4558.
Life Revival Llc Clinic has counselors who are trained and educated in the performance of behavior health services through interpersonal communications and analysis. Counselors offer guidance to individuals, couples, families and groups who are dealing with issues that affect their mental health and well-being.
Complete Clinic Profile:
Life Revival Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Life Revival Llc |
| Specialization: | Mental Health Counselor |
| Clinic Address: | 6404 Roosevelt Blvd, Philadelphia,
Pennsylvania, 19149-2943 |
| Phone: | 267-577-7747 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Daniel Lee |
| Position: | Director |
| Contact Number: | 267-259-4558 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Life Revival Llc clinic are as mentioned below.
| NPI Number: | 1023701067 |
| NPI Enumeration Date: | 26 May, 2023 |
| NPI Last Update On: | 26 May, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Life Revival Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/behavioral Health | | | Primary | |
| Mental Health | | | Secondary | |
| Counseling | | | Secondary | |
| Family | | | Secondary | |
| Psychoanalysis | | | Secondary | |
| Group Psychotherapy | | | Secondary | |
| Clinical | | | Secondary | |
| Psychiatry | | | Secondary | |
| Child & Adolescent Psychiatry | | | Secondary | |
| Geriatric Psychiatry | | | Secondary | |
| Case Management | | | Secondary | |
| Mental Health (Including Community Mental Health Center) | | | Secondary | |
| Adult Mental Health | | | Secondary | |
| Adolescent and Children Mental Health | | | Secondary | |
| Psych/Mental Health | | | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Life Revival Llc
6404 Roosevelt Blvd,
Philadelphia, Pennsylvania |
| Zip: | 19149-2943 |
| Phone Number: | -- |
Patients can reach Life Revival Llc at
6404 Roosevelt Blvd, Philadelphia, Pennsylvania or can
call to book an appointment on 267-577-7747.
*
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.