Organization · Type 2 NPI
Revive Recovery
Addiction (Substance Use Disorder) Psychologist · Melba, ID
Practice location
7894 Murphy Rd
Melba, ID 83641-5167
Mailing address
2432 W Bay Pointe Ave
Nampa, ID 83651-5038
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Psychologist Primary | 103TA0400X | None listed |
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | None listed |
| Community/Behavioral Health Agency | 251S00000X | None listed |
Addiction (Substance Use Disorder) Psychologist: A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behav…
About NPI 1023745908
Revive Recovery's National Provider Identifier is 1023745908, issued on Aug 2, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Psychologist (103TA0400X), and the practice location is in Melba, ID. The record was last updated on Aug 2, 2022.