| Revive Ministries Inc | |
|
104 S 2nd St Nicholasville KY 40356-1553 | |
| (859) 241-3892 | |
| Not Available |
| Full Name | Revive Ministries Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Medicine |
| Location | 104 S 2nd St, Nicholasville, Kentucky |
| Authorized Official Name and Position | Todd M Johns (ADMIN) |
| Authorized Official Contact | 8598814505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Ministries Inc 800 S Main St Ste C Nicholasville KY 40356-1868 Ph: (859) 241-3892 | Revive Ministries Inc 104 S 2nd St Nicholasville KY 40356-1553 Ph: (859) 241-3892 |
| NPI Number | 1932979754 |
|---|---|
| Provider Enumeration Date | 01/03/2024 |
| Last Update Date | 01/03/2024 |
| Certification Date | 01/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932979754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | (* (Not Available)) | Primary |
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