Revive Yourself Counseling Services LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

REVIVE YOURSELF COUNSELING SERVICES LLC

Practice address

11757 Shirburn Cir
Parrish, FL 34219-7508

Phone

(813) 502-0745

NPI assigned

Jan 31, 2023

Organization subpart

No

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

Authorized official

Name

Fay LinoNPI 1467170076

Title

Licensed Mental Health Therapist

Phone

(941) 565-5184

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.

• Fay Lino, LMHC

  • Mental Health Counselor
  • Sarasota, FL
  • NPI 1467170076
  NPD Authorized official

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1861198905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11757 SHIRBURN CIR",
            "city": "PARRISH",
            "state": "FL",
            "postal_code": "342197508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11757 SHIRBURN CIR",
            "city": "PARRISH",
            "state": "FL",
            "postal_code": "342197508",
            "telephone_number": "813-502-0745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE YOURSELF COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A",
        "authorized_official_last_name": "LINO",
        "authorized_official_first_name": "FAY",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "941-565-5184"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Joseph Reeves, DPT
• Monica Nichol Reid
• Brittany Faith Rekkas, APRN
• Gabriella Resnick
• Revive Behavioral Therapy LLC
• Nicole Rhoades, LCSW
• Mallory Ann Rickloff, OTR/L
• Kimberly Samantha Riley, RD
• Miguel Angel Rodriguez Mendez, DMD
• Stephanie Lauren Romano, PHARMD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Parrish, FL
• Providers in Parrish, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.