| Provider / Organization | NPI | Date Certified |
|---|---|---|
| REVIVAL HEALTH & WELLNESS LLC | 1891572145 | 2023-09-11 |
The organization Revival Health & Wellness Llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1891572145. Registration indicates Revival Health & Wellness Llc is a provider of access to mental health/behavioral health providers services with a specialization in Allopathic & Osteopathic Physicians, Psychiatry & Neurology (Allopathic & Osteopathic Physicians, Psychiatry & Neurology) (Psychiatry & Neurology: Psychiatry, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Psychiatry & Neurology Psychiatry, Allopathic & Osteopathic Physicians) (Psychiatry & Neurology, )
| Code | Practice | License No State |
|---|---|---|
| 2084P0800X PRIMARY | Access to Mental Health/Behavioral Health Providers Allopathic & Osteopathic Physicians Psychiatry & Neurology Allopathic & Osteopathic Physicians Psychiatry & Neurology Psychiatry & Neurology: Psychiatry Behavioral Health/Substance Abuse/Psychiatry Psychiatry & Neurology Psychiatry Allopathic & Osteopathic Physicians Psychiatry & Neurology | |
| 193200000X MULT | Group Code |