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Revive Wellness Group, Llc
Adolescent and Children Mental Health Clinic/Center in Land O Lakes, Florida
NPI 1154977064

Revive Wellness Group, Llc is an Adolescent and Children Mental Health Clinic/Center based in Land O Lakes, FL and is specialized in Adolescent and Children Mental Health. Revive Wellness Group, Llc practices in Land O Lakes, FL. The NPI Number for Revive Wellness Group, Llc is 1154977064 and holds a License No. (Florida).

The current practice location address for Revive Wellness Group, Llc is 2647 Narnia Way Unit 102, Land O Lakes, FL and can be reached out via phone at 407-250-7831.

Location: 2647 Narnia Way Unit 102, Land O Lakes, FL, 34638-7270
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154977064
Provider Name
Revive Wellness Group, Llc
Credential
Provider Entity Type
Organization
Address
2647 Narnia Way Unit 102, Land O Lakes, FL, 34638-7270
Phone Number
407-250-7831
Fax Number
Provider Enumeration Date
08/15/2019
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2647 Narnia Way Unit 102
City
Land O Lakes
State
Florida
Zip
34638-7270
Phone Number
407-250-7831
Fax Number
person
Provider Business Mailing Address Details
Address
2647 Narnia Way Unit 102
City
Land O Lakes
State
Florida
Zip
34638-7270
Phone Number
407-250-7831
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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