Revive Wellness Llc

LBN: Revive Wellness Llc
Revive Wellness Llc is an health care organization with primary practice located at 81 Wisteria Dr , Naugatuck CT 06770-5235. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Physician Assistants & Advanced Practice Nursing Providers / Family. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Revive Wellness Llc can be contacted via phone (203) 501-4624, or through Moraes, Danielle via phone (203) 501-4624.

Contact Information

Primary practice address
81 Wisteria Dr Naugatuck CT 06770-5235
Phone: (203) 501-4624
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Moraes, Danielle Licensed Clinical Social Worker (LCSW)
Phone: (203) 501-4624

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1235884073
LBN Legal business name Revive Wellness Llc
DBA Doing business as
Authorized official Moraes, Danielle Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2022
Last updated Feb 21st, 2022 - about 4 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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