Revive Therapeutic Services

LBN: Koann Therapeutic Services Inc
Revive Therapeutic Services is an health care organization with primary practice located at 382 Thayer St , Providence RI 02906-1558. 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. Koann Therapeutic Services Inc can be contacted via phone (401) 648-7172, or through Antwi, Akos via phone (401) 648-7172.

Contact Information

Primary practice address
382 Thayer St Providence RI 02906-1558
Phone: (401) 648-7172
Fax: (401) 648-0161
Website:
Map and Directions
Authorized official contact:
Name: Antwi, Akos CRNP, PMHNP-BC
Phone: (401) 648-7172

Health care specialties

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

Profile Details

NPI number 1639843303
LBN Legal business name Koann Therapeutic Services Inc
DBA Doing business as Revive Therapeutic Services
Authorized official Antwi, Akos CRNP, PMHNP-BC
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2021
Last updated Jan 10th, 2022 - about 4 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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