LIFE REVIVE COUNSELING LLC NPI 1326731829

NPI Information

NPI: 1326731829
Provider Name: LIFE REVIVE COUNSELING, LLC
Classification: Clinic/Center - 261QM0850X
Specialization: Adult Mental Health
Entity Type: Organization
Address: 64501 232ND ST
GLENWOOD, IA
ZIP 51534
Phone: (402) 660-7454

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NPI Details

LIFE REVIVE COUNSELING, LLC is an adult mental health clinic center in Glenwood, IA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. LIFE REVIVE COUNSELING, LLC NPI is 1326731829. The provider is registered as an organization entity type.

The provider's business location address is:

64501 232ND ST
GLENWOOD, IA
ZIP 51534-008
Phone: (402) 660-7454
Fax: (712) 355-5234

The provider's authorized official is Angela Marie Clark .
The authorized official title is Counselor and has the following contact phone number (402) 660-7454.

The enumeration date for this NPI number is 5/31/2023 and was last updated on 5/31/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0855X	Clinic/Center	Adolescent and Children Mental Health			No
2	261QM0850X	Clinic/Center	Adult Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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