Life Revise Counseling

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

64640 Issued in TX

Legal business name

LIFE REVISE COUNSELING

Practice address

2321 S Belt Line Rd Ste 117
Grand Prairie, TX 75051-4181

Phone

(817) 821-3690

NPI assigned

Dec 18, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michelle Palacios, LPC-SNPI 1730408287

Title

Owner

Phone

(817) 821-3690

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Lea Palacios, LPC-I

  • Professional Counselor
  • Arlington, TX
  • NPI 1730408287
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1418860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1043618333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2824 PARK PLACE DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750528521",
            "telephone_number": "817-821-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 S BELT LINE RD STE 117",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750514181",
            "telephone_number": "817-821-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE REVISE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-18",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "PALACIOS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-821-3690",
        "authorized_official_credential": "LPC-S"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "64640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lewis Podiatry Group PA
• Brandon J. Lewis, DPM
• Thonas O'Neal Lewis, LBSW,LCDC
• Liberty Healthcare United, PA
• Karen Rebecca Liddell, OTD, OTR
• Linda Dixon
• Jacqueline Linville
• Live Life Freely Inc
• Living Faith Healthcare, PLLC
• Living Spring Family Psychiatry

• Community/Behavioral Health Agency in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.