Organization · Type 2 NPI

Revive Behavioral Health, LLC

Psychiatric/Mental Health Nurse Practitioner · Mount Vernon, OH

NPI number 1003601220 Active

Practice location

206 S Mulberry St Ste A
Mount Vernon, OH 43050-3331

Call (740) 501-4836 Map

Mailing address

6130 Sharp Rd
Mount Vernon, OH 43050-9477

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1003601220

Revive Behavioral Health, LLC's National Provider Identifier is 1003601220, issued on Apr 9, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Mount Vernon, OH. The record was last updated on Apr 10, 2025.