| Revive Health Clinics, Pllc | |
|
1277 E Missouri Ave Ste 101 Phoenix AZ 85014-2916 | |
| (602) 296-4106 | |
| (602) 296-4146 |
| Full Name | Revive Health Clinics, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1277 E Missouri Ave Ste 101, Phoenix, Arizona |
| Authorized Official Name and Position | Joshua F Bock (MANAGING MEMBER) |
| Authorized Official Contact | 4807262287 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Health Clinics, Pllc 1839 S Alma School Rd Ste 354 Mesa AZ 85210-3028 Ph: (480) 726-2287 | Revive Health Clinics, Pllc 1277 E Missouri Ave Ste 101 Phoenix AZ 85014-2916 Ph: (602) 296-4106 |
| NPI Number | 1780253500 |
|---|---|
| Provider Enumeration Date | 06/24/2021 |
| Last Update Date | 06/24/2021 |
| Certification Date | 06/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780253500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
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