Revive & Thrive Mental Health, Llc
LBN: Revive & Thrive Mental Health, Llc
Revive & Thrive Mental Health, Llc is an health care organization with primary practice located at 4013 N Ridge Rd Ste 110 , Wichita KS 67205-8859. The organization recently has 14 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is the primary health care specialty.
Revive & Thrive Mental Health, Llc can be contacted via phone (316) 631-2454, or through Newsom, Evangeline via phone (316) 201-6294.
Contact Information
Primary practice address
4013 N Ridge Rd Ste 110
Wichita KS 67205-8859
Phone: (316) 631-2454
Fax: (316) 247-6062
Website:
Health care specialties
Profile Details
| NPI number | 1356003628 |
|---|---|
| LBN Legal business name | Revive & Thrive Mental Health, Llc |
| DBA Doing business as | |
| Authorized official | Newsom, Evangeline |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 13th, 2021 |
| Last updated | Jul 7th, 2024 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356003628 | NPPES |
| Kansas | MEDICAID | 30004830030002 | |
| Kansas | Other | 363LP0808X | |
| Kansas | MEDICAID | 30004842030001 |
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