Revive Life Llc

LBN: Revive Life Llc
Revive Life Llc is an health care organization with primary practice located at 316 E Diamond Ave , Gaithersburg MD 20877-3070. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Psychiatry, Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Revive Life Llc can be contacted via phone (206) 898-5432, or through Nataraj, Radhika via phone (301) 252-1866.

Contact Information

Primary practice address
316 E Diamond Ave Gaithersburg MD 20877-3070
Phone: (206) 898-5432
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nataraj, Radhika
Phone: (301) 252-1866

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1740081223
LBN Legal business name Revive Life Llc
DBA Doing business as
Authorized official Nataraj, Radhika
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2025
Last updated Mar 25th, 2026 - about 8 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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