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General NPI Number Information
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NPI Number | 1619562840
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Entity Type | Organization
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Legal Business Name | REVEYE MENTAL HEALTH AND WELLNESS LLC
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Dates
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Enumeration Date | 03/09/2021
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Last Update Date | 07/26/2024
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Provider Practice Location Address
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Address Line | 1645 PALM BEACH LAKES BLVD STE 1200
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-2214
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Country | US
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Telephone | 561-257-1877
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Fax | 561-257-1891
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Provider Business Mailing Address
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Address Line | 1645 PALM BEACH LAKES BLVD STE 1200
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-2214
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Country | US
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Telephone | 561-257-1877
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Fax | 561-257-1891
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Authorized Official
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Title or Position | MANAGING CO FOUNDER
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Name | BIANCA MEANT
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Credential | LCSW
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Telephone | 561-257-1877
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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