Revive Wellness Group, Llc

LBN: Revive Wellness Group, Llc
Revive Wellness Group, Llc is an health care organization with primary practice located at 2647 Narnia Way Unit 102 , Land O Lakes FL 34638-7270. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Revive Wellness Group, Llc can be contacted via phone (407) 250-7831, or through Richard, Leighya J via phone (407) 250-7831.

Contact Information

Primary practice address
2647 Narnia Way Unit 102 Land O Lakes FL 34638-7270
Phone: (407) 250-7831
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Richard, Leighya J LMHC
Phone: (407) 250-7831

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1154977064
LBN Legal business name Revive Wellness Group, Llc
DBA Doing business as
Authorized official Richard, Leighya J LMHC
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2019
Last updated Jun 5th, 2023 - about 3 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