| Reviive Therapy Services, Pllc | |
|
1201 N Watson Rd Ste 201 Arlington TX 76006-6120 | |
| (469) 558-0443 | |
| (817) 987-1288 |
| Full Name | Reviive Therapy Services, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1201 N Watson Rd Ste 201, Arlington, Texas |
| Authorized Official Name and Position | Ebonii Nelson (OWNER) |
| Authorized Official Contact | 4699396827 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reviive Therapy Services, Pllc 2201 Racquet Club Ct Arlington TX 76017-3724 Ph: () - | Reviive Therapy Services, Pllc 1201 N Watson Rd Ste 201 Arlington TX 76006-6120 Ph: (469) 558-0443 |
| NPI Number | 1437935061 |
|---|---|
| Provider Enumeration Date | 09/08/2023 |
| Last Update Date | 09/08/2023 |
| Certification Date | 09/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437935061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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