National Provider Identifier Database

REVELATION TREE COUNSELING AND WELLNESS LLC
Professional


Contact Information

REVELATION TREE COUNSELING AND WELLNESS, LLC
3865 BEAVER RD
MUNFORD, TN38058
Phone: 901-586-6317
Fax: 901-296-0041
Website:
Specialty Taxonomy Code
* Professional 101YP2500X

* Indicates primary specialty

NPI Profile & details for REVELATION TREE COUNSELING AND WELLNESS, LLC

NPI Number 1487135984
Legal business name
LBN
REVELATION TREE COUNSELING AND WELLNESS, LLC
Authorized official KIMBERLY KELLUM - (THERAPIST/CEO)
Entity Organization
Organization subpart No
Enumeration date 08/23/2018
Last updated 03/06/2026 - About 3 months ago
Sole proprietor1 Not specified
Identifiers
  • TN License #: 4022

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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