Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Revitalizing Lifestyle Medicine LLC

Organization Mental Health Counselor · NPI 1598542763

Revitalizing Lifestyle Medicine LLC provides Mental Health Counselor services in Kissimmee, Florida. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

111 E Monument Ave Unit 324
Kissimmee, FL 34741-5771
Phone: (321) 442-0192
Fax: (321) 319-9730
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1598542763
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael McGowan — Owner · (321) 442-0192
NPI enumeratedSeptember 12, 2023
Last updated in NPPESNovember 13, 2023
Certification dateNovember 13, 2023
Mailing address111 E Monument Ave Unit 324, Kissimmee, FL 34741-5771

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