PD REVIVAL MEDICAL PLLC NPI 1124764030

NPI Information

  • NPI: 1124764030
  • Provider Name: PD REVIVAL MEDICAL, PLLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 3130 SADDLE DR SUITE 6B
    HELENA, MT
    ZIP 59601
  • Phone: (307) 272-0843

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NPI Details

PD REVIVAL MEDICAL, PLLC is a mental health (including community mental health center) clinic center in Helena, MT. PD REVIVAL MEDICAL, PLLC NPI is 1124764030. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3130 SADDLE DR SUITE 6B
HELENA, MT
ZIP 59601-644
Phone: (307) 272-0843

The provider's authorized official is Hanna Powers .
The authorized official title is Pmhnp and has the following contact phone number (307) 272-0843.

The enumeration date for this NPI number is 5/12/2022 and was last updated on 10/16/2024.

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
1106H00000XMarriage & Family TherapistNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes
3363AM0700XPhysician AssistantMedicalNo
4363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
5367500000XNurse Anesthetist, Certified RegisteredNo

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: 11/21/2025

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