REVIVAL PSYCHIATRY NPI 1073285987

NPI Information

NPI: 1073285987
Provider Name: REVIVAL PSYCHIATRY
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
15884 E LIMESTONE RD
ATHENS, AL
ZIP 35613
Phone: (256) 431-6469
Get Directions

REVIVAL PSYCHIATRY is a psychiatric/mental health nurse practitioner in Athens, AL. REVIVAL PSYCHIATRY NPI is 1073285987. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

15884 E LIMESTONE RD
ATHENS, AL
ZIP 35613-522
Phone: (256) 431-6469

The provider's authorized official is Jacob Scott .
The authorized official title is Owner and has the following contact phone number (256) 431-6469.

The enumeration date for this NPI number is 9/29/2021 and was last updated on 9/29/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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