| Revive Behavioral Health | |
|
24107 Sequoia Rd N Dinwiddie VA 23803-8715 | |
| (804) 653-7009 | |
| Not Available |
| Full Name | Revive Behavioral Health |
|---|---|
| Speciality | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry |
| Location | 24107 Sequoia Rd, N Dinwiddie, Virginia |
| Authorized Official Name and Position | Hailey Mazzei (OWNER) |
| Authorized Official Contact | 8044903226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Behavioral Health 24107 Sequoia Rd N Dinwiddie VA 23803-8715 Ph: (804) 490-3226 | Revive Behavioral Health 24107 Sequoia Rd N Dinwiddie VA 23803-8715 Ph: (804) 653-7009 |
| NPI Number | 1942055504 |
|---|---|
| Provider Enumeration Date | 04/18/2024 |
| Last Update Date | 07/17/2024 |
| Certification Date | 07/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942055504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084B0040X | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry | (* (Not Available)) | Primary |
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