REVITALIZE COUNSELING SERVICES LLC (NPI# 1184132094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184132094 |
| Entity Type | Organization |
| Organization Name | REVITALIZE COUNSELING SERVICES LLC |
| Practice Address |
2401 Woodland Rd Manchester NJ 08759-6135 |
| Practice Telephone | 8484595943 |
| Mailing Telephone | 8484595943 |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2018-01-12 |
| Authorized Official Name | MRS. DANA M GIBILISCO (CEO) |
| Authorized Official Telephone | 8484595943 |
| Authorized Official Credential | MS, LPC, NCC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
37PC00555800 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
2401 WOODLAND RD |
| City | MANCHESTER |
| State | NJ |
| Zip Code | 08759-6135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811471097 | Anthony's Exclusive Limousine | Private Vehicle | 20 Florence Drive, Renaissance Community, Manchsester, NJ 08759 | 2018-09-24 |
| 1619489077 | Audiology Services Company Usa, LLC | Clinic/Center | 70 Lacey Road Route 530, Irish Branch Plaza, Manchester Township, NJ 08759 | 2017-10-25 |
| 1053835371 | Renee Lynn Agro | Case Manager/Care Coordinator | 23 Arcadia Drive, Manchester Township, NJ 08759 | 2017-07-28 |
| 1891229563 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 713 Northhampton Boulevard, Manchester, NJ 08759 | 2017-04-19 |
| 1750829701 | The Open Door of New Jersey | Day Training, Developmentally Disabled Services | 2110 Route 70, Manchester, NJ 08759 | 2017-02-09 |
| 1205214277 | Monette Tresvalles Md LLC | Internal Medicine | 65 D Lacey Road, Whiting, NJ 08759 | 2015-05-11 |
| 1093112708 | Walgreen Co. | Pharmacy | 500 Route 530, Whiting, NJ 08759 | 2014-11-24 |
| 1104251438 | Meredith L Hardie | Physical Therapist | 63-h Lacey Road, Whiting, NJ 08759 | 2013-09-05 |
| 1982951380 | Crest Whiting Physical Therapy | Physical Medicine & Rehabilitation | 61 Lacey Road, Whiting, NJ 08759 | 2012-08-06 |
| 1366710592 | Barbara Celina Boudreau | Registered Nurse | 1228 Route 37 West, Holy Redeemer, Toms River, NJ 08759 | 2011-12-02 |
| Find all providers in zip 08759 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417506643 | Angela B Flanagan | Counselor | 112 Arnott Rd, Manchester, CT 06040-4529 | 2019-09-10 |
| 1578946786 | Reta Goldman | Counselor | 25 Lowell St Ste 208, Manchester, NH 03101 | 2015-07-07 |
| 1770973570 | Naree Thao | Counselor | 910 Dogwood Creek Dr Apt F, Manchester, MO 63021-8565 | 2015-01-31 |
| 1407245269 | Ann M Sullivan | Counselor | 2460 Clarjon Dr, Manchester, MO 63021-7821 | 2015-01-16 |
| 1891038956 | Jaleesa Hernandez Jones | Counselor | 843 Main St Ste 2, Manchester, CT 06040-6041 | 2013-03-27 |
| 1841526324 | Thomas Ray Lawson | Counselor | 621 Henley St, Manchester, TN 37355-2103 | 2009-10-19 |
| 1568646917 | Joan L Nester | Counselor | 1375 Carman Rd, Berean House, Manchester, MO 63021-5600 | 2007-12-20 |
| 1598898686 | Vicki I Simmons | Counselor | 315 Stephanie, Manchester, MO 63011 | 2007-03-14 |
| 1245376250 | Rachel Marie Millonas | Counselor | 741 Ridgeside Dr, C, Manchester, MO 63021-7754 | 2007-01-29 |
| 1942350467 | Lise G. O'neill | Counselor | Manchester Memorial Hospital, 71 Haynes St, Manchester, CT 06042 | 2007-01-10 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 08759 |
Please comment or provide details below to improve the information on REVITALIZE COUNSELING SERVICES LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.