Revive Wellness & Co

LBN: Revive Wellness & Co
Revive Wellness & Co is an health care organization with primary practice located at 5335 Nueces Ln , Grand Prairie TX 75052-2667. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Revive Wellness & Co can be contacted via phone (972) 802-4892, or through Moore, Samitriya L via phone (972) 802-4892.

Contact Information

Primary practice address
5335 Nueces Ln Grand Prairie TX 75052-2667
Phone: (972) 802-4892
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Moore, Samitriya L PMHNP
Phone: (972) 802-4892

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1194502070
LBN Legal business name Revive Wellness & Co
DBA Doing business as
Authorized official Moore, Samitriya L PMHNP
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2023
Last updated Sep 13th, 2023 - 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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