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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 Specialty Code Provider Type

Professional

101YP2500X
Indicates primary specialty

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

NPI Number 1487135984
LBN Legal business name REVELATION TREE COUNSELING AND WELLNESS, LLC
Authorized official KIMBERLY KELLUM - (THERAPIST/CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/23/2018
Last updated 03/06/2026 - About 3 months ago
Identifiers
TN License # 4022
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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