Revive Wellness Center

LBN: Revive Wellness Center
Revive Wellness Center is an health care organization with primary practice located at 226 N Front St # 118 , Wilmington NC 28401-3920. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is the primary health care specialty. Revive Wellness Center can be contacted via phone (910) 518-9837, or through Kennedy, Breeana via phone (910) 271-0415.

Contact Information

Primary practice address
226 N Front St # 118 Wilmington NC 28401-3920
Phone: (910) 518-9837
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kennedy, Breeana LCMHC
Phone: (910) 271-0415

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1205675238
LBN Legal business name Revive Wellness Center
DBA Doing business as
Authorized official Kennedy, Breeana LCMHC
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2024
Last updated May 20th, 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.

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