<Unavail>
LBN: Revive Therapeutic Counseling Services
<Unavail> is an health care organization with primary practice located at 2255 Crain Hwy Ste 105 , Waldorf MD 20601-3186. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Ambulatory Health Care Facilities / Adult Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty.
Revive Therapeutic Counseling Services can be contacted via phone (301) 276-1151, or through Lewis, Camille A via phone (301) 276-1151.
Contact Information
Primary practice address
2255 Crain Hwy Ste 105
Waldorf MD 20601-3186
Phone: (301) 276-1151
Fax: (301) 923-1329
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X |
Profile Details
| NPI number | 1609503192 |
|---|---|
| LBN Legal business name | Revive Therapeutic Counseling Services |
| DBA Doing business as | <Unavail> |
| Authorized official | Lewis, Camille A |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 4th, 2022 |
| Last updated | Feb 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609503192 | NPPES |
| Maryland | MEDICAID | 999013500 |
Popular Providers
-
Enoved Co
2670 Crain Hwy Ste 205 , Waldorf MD 20601-2816 -
Blacksoleheeling, Llc
2807 Pinewood Dr , Waldorf MD 20601-3047 -
Cross Behavioral Consulting Llc
2670 Crain Hwy Ste 106 , Waldorf MD 20601-2820 -
Thomas Chisley Behavioral Health Services, Llc
3914 Northgate Pl , Waldorf MD 20602-2562 -
Enlighten Therapeutic & Consulting Services, Llc
2 Post Office Rd Ste 1B , Waldorf MD 20602-2726 -
New Look Counseling Llc
11705 Berry Rd Ste 104 , Waldorf MD 20603-5933 -
Hope Esperanza Restoration And Empowerment Center, Inc
2 Industrial Park Dr Ste C , Waldorf MD 20602-2729 -
Institute For Behavioral Change, Inc.
2670 Crain Hwy Ste 303 , Waldorf MD 20601-2817