Organization · Type 2 NPI
Revive Mental Health Clinic
Psychiatric/Mental Health Nurse Practitioner · Mansfield, OH
NPI number
1134050099
Active
Practice location
1115 Lexington Ave Ste B
Mansfield, OH 44907-2251
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
Other psychiatric/mental health nurse practitioner providers in Mansfield
About NPI 1134050099
Revive Mental Health Clinic's National Provider Identifier is 1134050099, issued on May 28, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Mansfield, OH. The record was last updated on Jul 21, 2026.