| Revive Psycho Therapy Llc | |
|
2800 Parkview Ter Apt 5a Bronx NY 10468-1532 | |
| (646) 316-4902 | |
| Not Available |
| Full Name | Revive Psycho Therapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2800 Parkview Ter Apt 5a, Bronx, New York |
| Authorized Official Name and Position | Melissa Salce (CLINICAL DIRECTOR) |
| Authorized Official Contact | 6466239554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Psycho Therapy Llc 90 Vermilyea Ave Unit 428 New York NY 10034-9417 Ph: (646) 316-4902 | Revive Psycho Therapy Llc 2800 Parkview Ter Apt 5a Bronx NY 10468-1532 Ph: (646) 316-4902 |
| NPI Number | 1447078480 |
|---|---|
| Provider Enumeration Date | 09/30/2024 |
| Last Update Date | 09/30/2024 |
| Certification Date | 09/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447078480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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