REVIVE PSYCHIATRIC SERVICES, LLC is a psychiatric/mental health nurse practitioner in Lafayette, LA. REVIVE PSYCHIATRIC SERVICES, LLC NPI is 1225504962. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
4906 AMBASSADOR CAFFERY PKWY BLDG B
LAFAYETTE, LA
ZIP 70508-962
Phone: (337) 450-9452
Fax: (337) 222-3934
The provider's authorized official is Seth Bowers .
The authorized official title is Owner and has the following contact phone number (337) 247-2533.
The CLIA number assigned to this NPI record is 19D2167871 - practitioner other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/21/2018 and was last updated on 3/11/2021.