Organization · Type 2 NPI
Revive Behavioral Health
Behavioral Neurology & Neuropsychiatry Physician · Petersburg, VA
NPI number
1942055504
Active
Practice location
416 3rd St Ste D
Petersburg, VA 23803-3300
Fax (804) 773-4688
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavioral Neurology & Neuropsychiatry Physician Primary | 2084B0040X | None listed |
Behavioral Neurology & Neuropsychiatry Physician: Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues.
2 other providers at this address
About NPI 1942055504
Revive Behavioral Health's National Provider Identifier is 1942055504, issued on Apr 18, 2024. The primary taxonomy on file is Behavioral Neurology & Neuropsychiatry Physician (2084B0040X), and the practice location is in Petersburg, VA. The record was last updated on Sep 13, 2025.