Organization · Type 2 NPI

Revive Behavioral Health, PLLC

Psychiatric/Mental Health Nurse Practitioner · Worcester, MA

NPI number 1871480327 Active

Practice location

287 Grove Street, Building D, Suite 204
Worcester, MA 01605

Call (508) 444-9783 Map

Fax (508) 794-7167

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

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

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About NPI 1871480327

Revive Behavioral Health, PLLC's National Provider Identifier is 1871480327, issued on Jun 18, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Worcester, MA. The record was last updated on Jun 18, 2025.