Revival Psychiatry

LBN: Revival Psychiatry
Revival Psychiatry is an health care organization with primary practice located at 15884 E Limestone Rd , Athens AL 35613-7522. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as the primary health care specialty. Revival Psychiatry can be contacted via phone (256) 431-6469, or through Scott, Jacob via phone (256) 431-6469.

Contact Information

Primary practice address
15884 E Limestone Rd Athens AL 35613-7522
Phone: (256) 431-6469
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Scott, Jacob
Phone: (256) 431-6469

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1073285987
LBN Legal business name Revival Psychiatry
DBA Doing business as
Authorized official Scott, Jacob
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2021
Last updated Sep 29th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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