Organization

Revibe Therapy Pllc

May also be knows as Revibe Therapy

Clinical Social Worker in Orlando, FL(View on Map)

Legal Business Name

Revibe Therapy Pllc

Also Known As

Revibe Therapy

NPI Number

1457919516

NPI Type

Organization

Enumeration Date

06/04/2019

Specialties

(Taxonomies)

Code

1041C0700X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

11901 LANDING POINT LOOP
6900 TAVISTOCK LAKES BLVD STE 400

City

Orlando
Orlando

State

FL
FL

Postal Code

32832-5904
32827-7593

Country

US
US

Telephone Number

(407) 801-2191
(407) 801-2191

Authorized Official

Name

Mr. Jose De La Cruz

Title or Position

HYPNOTHERAPIST/ PSYCHOTHERAPIST

Telephone Number

(407) 801-2191

Identifiers

Identifier

1629635073

Identifier State

FL

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/29/2020

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