Revive Mental Wellness Llc

LBN: Revive Mental Wellness Llc
Revive Mental Wellness Llc is an health care organization with primary practice located at 200 N 23Rd St Ste 106 , Boise ID 83702-4969. 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. Revive Mental Wellness Llc can be contacted via phone (208) 398-3351, or through Snow, Jynnah L via phone (208) 922-8298.

Contact Information

Primary practice address
200 N 23Rd St Ste 106 Boise ID 83702-4969
Phone: (208) 398-3351
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Snow, Jynnah L PMHNP
Phone: (208) 922-8298

Health care specialties

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

Profile Details

NPI number 1326756347
LBN Legal business name Revive Mental Wellness Llc
DBA Doing business as
Authorized official Snow, Jynnah L PMHNP
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2022
Last updated Jan 1st, 2023 - about last year

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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