REVIVE WELLNESS GROUP LLC NPI 1154977064

NPI Information

NPI: 1154977064
Provider Name: REVIVE WELLNESS GROUP, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
2462 E MICHIGAN ST STE 106
ORLANDO, FL
ZIP 32806
Phone: (407) 250-7831
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REVIVE WELLNESS GROUP, LLC is a mental health counselor in Orlando, FL. REVIVE WELLNESS GROUP, LLC NPI is 1154977064. The provider is registered as an organization entity type.

The provider's business location address is:

2462 E MICHIGAN ST STE 106
ORLANDO, FL
ZIP 32806-059
Phone: (407) 250-7831
Fax: (407) 315-9414

The provider's authorized official is Leighya J Richard .
The authorized official title is Owner/licensed Psychotherapist and has the following contact phone number (407) 250-7831.

The enumeration date for this NPI number is 8/15/2019 and was last updated on 10/27/2019.

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	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health	No
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
3	101YM0800X	Counselor	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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