| Revive Therapy Services | |
|
4305 Locust St Philadelphia PA 19104-5382 | |
| (267) 600-8142 | |
| Not Available |
| Full Name | Revive Therapy Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4305 Locust St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Hannah Guy (OWNER) |
| Authorized Official Contact | 2676008142 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Therapy Services 4511 Kingsessing Ave Fl 1 Philadelphia PA 19143-3712 Ph: (267) 600-8142 | Revive Therapy Services 4305 Locust St Philadelphia PA 19104-5382 Ph: (267) 600-8142 |
| NPI Number | 1225753858 |
|---|---|
| Provider Enumeration Date | 10/06/2022 |
| Last Update Date | 10/06/2022 |
| Certification Date | 10/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225753858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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