Organization · Type 2 NPI

Revive & Thrive Mental Health, LLC

Psychiatric/Mental Health Nurse Practitioner · Wichita, KS

NPI number 1356003628 Active

Practice location

4013 N Ridge Rd Ste 110
Wichita, KS 67205-8859

Call (316) 631-2454 Map

Fax (316) 247-6062

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed
Professional Counselor 101YP2500XNone listed
Psychologist 103T00000XNone listed
Cognitive & Behavioral Psychologist 103TB0200XNone listed
Clinical Psychologist 103TC0700XNone listed
Counseling Psychologist 103TC1900XNone listed
Clinical Child & Adolescent Psychologist 103TC2200XNone listed
Social Worker 104100000XNone listed
Clinical Social Worker 1041C0700XNone listed
Marriage & Family Therapist 106H00000XNone listed
Community/Behavioral Health Agency 251S00000XNone listed
Adult Mental Health Clinic/Center 261QM0850XNone listed
Adolescent and Children Mental Health Clinic/Center 261QM0855XNone listed
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

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

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About NPI 1356003628

Revive & Thrive Mental Health, LLC's National Provider Identifier is 1356003628, issued on Oct 13, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Wichita, KS. The record was last updated on Jul 7, 2024.