Organization · Type 2 NPI
Revive Clinic LLC
Psychiatric/Mental Health Clinical Nurse Specialist · Washington, DC
NPI number
1255209581
Active
Practice location
20 F St NW Fl 7
Washington, DC 20001-6700
Fax (866) 538-1415
Mailing address
10440 Little Patuxent Pkwy Ste 300
Columbia, MD 21044-3648
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Clinical Nurse Specialist Primary | 364SP0808X | None listed |
Psychiatric/Mental Health Clinical Nurse Specialist: Definition to come...
4 other providers at this address
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- Passion Care Health Services LLCDevelopmental Disabilities Clinic/Center Washington, DC NPI 1861239774
- Christiana Roberts, FNPPsychiatric/Mental Health Nurse Practitioner Washington, DC NPI 1558805333
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About NPI 1255209581
Revive Clinic LLC's National Provider Identifier is 1255209581, issued on Oct 28, 2025. The primary taxonomy on file is Psychiatric/Mental Health Clinical Nurse Specialist (364SP0808X), and the practice location is in Washington, DC. The record was last updated on May 12, 2026.