Organization · Type 2 NPI
Revival Wellness & Ketamine
Mental Health Clinic/Center (Including Community Mental Health Center) · Chantilly, VA
NPI number
1093514655
Active
Practice location
4200B Technology Ct
Chantilly, VA 20151-1214
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
6 other providers at this address
- Summit Health PLLCPrimary Care Clinic/Center Chantilly, VA NPI 1275318651
- Virtual Physio, LLCPhysical Therapist Chantilly, VA NPI 1023622438
- Emily Derocco, DCPediatric Chiropractor Chantilly, VA NPI 1588941207
- Emily Janaro, PT, DPTPhysical Therapist Chantilly, VA NPI 1033022066
- Madeline Marie Segall, DC, BSChiropractor Chantilly, VA NPI 1295604726
- Sarah A. Gilpatrick, CRNPFamily Nurse Practitioner Chantilly, VA NPI 1700564549
Other mental health clinic/center (including community mental health center) providers in Chantilly
About NPI 1093514655
Revival Wellness & Ketamine's National Provider Identifier is 1093514655, issued on Mar 7, 2025. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Chantilly, VA. The record was last updated on Nov 3, 2025.