Revive Wellness Inc

LBN: Revive Therapeutic Counseling Services Llc
Revive Wellness Inc is an health care organization with primary practice located at 21514 Forest Run Dr , Lexington Park MD 20653-1375. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Revive Therapeutic Counseling Services Llc can be contacted via phone (301) 276-1151, or through Lewis, Camille via phone (301) 276-1151.

Contact Information

Primary practice address
21514 Forest Run Dr Lexington Park MD 20653-1375
Fax:
Website:
Authorized official contact:
Name: Lewis, Camille LCPC

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1609503192
LBN Legal business name Revive Therapeutic Counseling Services Llc
DBA Doing business as Revive Wellness Inc
Authorized official Lewis, Camille LCPC
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2022
Last updated Jun 13th, 2024 - about 5 months 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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