Provider Demographics
NPI:1083222681
Name:GUILLAUME-PARTEE, REVE
Entity Type:Individual
Prefix:
First Name:REVE
Middle Name:
Last Name:GUILLAUME-PARTEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:REVE
Other - Middle Name:
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1350 S GREENFIELD RD UNIT 1157
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-3498
Mailing Address - Country:US
Mailing Address - Phone:734-218-1570
Mailing Address - Fax:
Practice Address - Street 1:1166 E WARNER RD STE 203
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85296-3066
Practice Address - Country:US
Practice Address - Phone:480-459-9994
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-20
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health