Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Revitalize Consulting Group, Inc

Organization Professional Counselor · NPI 1013535145

Revitalize Consulting Group, Inc is a Professional Counselor in Nampa, Idaho. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

202 S Midland Blvd
Nampa, ID 83686-2602
Phone: (208) 977-3077
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1013535145
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laura Sander — President/Owner · (208) 997-3077
Other names Revitalize Counseling Center
NPI enumeratedJuly 6, 2020
Last updated in NPPESDecember 2, 2025
Certification dateDecember 2, 2025
Mailing address202 S Midland Blvd, Nampa, ID 83686-2602

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