| Revive & Thrive Therapy Llc | |
|
173 E Grant Ave Roselle Park NJ 07204-2026 | |
| (908) 315-5947 | |
| (908) 344-5537 |
| Full Name | Revive & Thrive Therapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 173 E Grant Ave, Roselle Park, New Jersey |
| Authorized Official Name and Position | Arlene Vieira Anjos (MEMBER) |
| Authorized Official Contact | 9083155947 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revive & Thrive Therapy Llc 173 E Grant Ave Roselle Park NJ 07204-2026 Ph: (908) 315-5947 | Revive & Thrive Therapy Llc 173 E Grant Ave Roselle Park NJ 07204-2026 Ph: (908) 315-5947 |
| NPI Number | 1205217809 |
|---|---|
| Provider Enumeration Date | 06/09/2015 |
| Last Update Date | 06/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205217809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05485900 (New Jersey) | Primary |
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