Revive Wellness

LBN: Revive Wellness
Revive Wellness is an health care organization with primary practice located at 119 Harry St First Floor, Conshohocken PA 19428. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Revive Wellness can be contacted via phone (610) 457-8542, or through Stanley, Leiza via phone (640) 457-8542.

Contact Information

Primary practice address
119 Harry St First Floor Conshohocken PA 19428
Phone: (610) 457-8542
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stanley, Leiza Licensed Clinical Social Worker (LCSW)
Phone: (640) 457-8542

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X CW016642 Pennsylvania

Profile Details

NPI number 1912443094
LBN Legal business name Revive Wellness
DBA Doing business as
Authorized official Stanley, Leiza Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2017
Last updated May 4th, 2017 - about 9 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.

Request for update

Popular Providers