| Revive Wellness Group, Llc | |
|
2647 Narnia Way Unit 102 Land O Lakes FL 34638-7270 | |
| (407) 250-7831 | |
| Not Available |
| Full Name | Revive Wellness Group, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2647 Narnia Way Unit 102, Land O Lakes, Florida |
| Authorized Official Name and Position | Leighya J Richard (OWNER/LICENSED PSYCHOTHERAPIST) |
| Authorized Official Contact | 4072507831 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Wellness Group, Llc 2647 Narnia Way Unit 102 Land O Lakes FL 34638-7270 Ph: (407) 250-7831 | Revive Wellness Group, Llc 2647 Narnia Way Unit 102 Land O Lakes FL 34638-7270 Ph: (407) 250-7831 |
| NPI Number | 1154977064 |
|---|---|
| Provider Enumeration Date | 08/15/2019 |
| Last Update Date | 06/05/2023 |
| Certification Date | 06/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154977064 | NPI | - | NPPES |
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