Revive Psychiatric Services, Llc

LBN: Revive Psychiatric Services, Llc
Revive Psychiatric Services, Llc is an health care organization with primary practice located at 221 Rue De Jean Ste 210 , Lafayette LA 70508-3283. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as the primary health care specialty. Revive Psychiatric Services, Llc can be contacted via phone (337) 450-9452, or through Bowers, Seth Jordan via phone (337) 247-2533.

Contact Information

Primary practice address
221 Rue De Jean Ste 210 Lafayette LA 70508-3283
Phone: (337) 450-9452
Fax: (337) 222-3934
Website:
Map and Directions
Authorized official contact:
Name: Bowers, Seth Jordan PMHNP-BC
Phone: (337) 247-2533

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1225504962
LBN Legal business name Revive Psychiatric Services, Llc
DBA Doing business as
Authorized official Bowers, Seth Jordan PMHNP-BC
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2018
Last updated Oct 31st, 2024 - 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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