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

Revitalizing Lifestyle Medicine LLC

Organization Mental Health Counselor · NPI 1598542763

Revitalizing Lifestyle Medicine LLC is a Mental Health Counselor 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.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

111 E Monument Ave Unit 324
Kissimmee, FL 34741-5771
Phone: (321) 442-0192
Fax: (321) 319-9730
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Other providers in Kissimmee