Revive Health And Wellness, Llc

LBN: Revive Health And Wellness, Llc
Revive Health And Wellness, Llc is an health care organization with primary practice located at 2112 Bienville Blvd Ste M1 , Ocean Springs MS 39564-3027. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Revive Health And Wellness, Llc can be contacted via phone (228) 324-5347, or through White, Traci J via phone (228) 324-5347.

Contact Information

Primary practice address
2112 Bienville Blvd Ste M1 Ocean Springs MS 39564-3027
Phone: (228) 324-5347
Fax:
Website:
Map and Directions
Authorized official contact:
Name: White, Traci J Nurse Practitioner (NP)
Phone: (228) 324-5347

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1255068425
LBN Legal business name Revive Health And Wellness, Llc
DBA Doing business as
Authorized official White, Traci J Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 6th, 2022
Last updated Aug 6th, 2022 - about 2 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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