REVIVE RECOVERY LLC NPI 1215522263

NPI Information

NPI: 1215522263
Provider Name: REVIVE RECOVERY LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
3541 BONITA BAY BLVD STE 200
BONITA SPRINGS, FL
ZIP 34134
Phone: (239) 908-9958
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REVIVE RECOVERY LLC is a clinic center in Bonita Springs, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). REVIVE RECOVERY LLC NPI is 1215522263. The provider is registered as an organization entity type.

The provider's business location address is:

3541 BONITA BAY BLVD STE 200
BONITA SPRINGS, FL
ZIP 34134-703
Phone: (239) 908-9958

The provider's authorized official is Christina Thomas .
The authorized official title is Owner and has the following contact phone number (239) 908-9958.

The enumeration date for this NPI number is 3/2/2021 and was last updated on 3/2/2021.

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	Primary
1	261QI0500X	Clinic/Center	Infusion Therapy	No
2	261QM0850X	Clinic/Center	Adult Mental Health	No
3	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
4	261Q00000X	Clinic/Center		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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