Active NPIOrganization

Revive & Thrive Therapy LLC

Social Worker, Clinical in Roselle Park, New Jersey

NPI Number1205217809
Practice location
173 E Grant Ave, Roselle Park, NJ 07204-2026
Fax
908-344-5537
Last updated
June 16, 2015

Revive & Thrive Therapy LLC is a healthcare organization based in Roselle Park, NJ. Revive & Thrive Therapy LLC practices in Roselle Park, NJ. The NPI Number for Revive & Thrive Therapy LLC is 1205217809 and holds a License No. 44SC05485900 (NJ). The current practice location address for Revive & Thrive Therapy LLC is 173 E Grant Ave, Roselle Park, NJ 07204-2026 and can be reached out via phone at 908-315-5947 and via fax at 908-344-5537.

Provider Profile Details

NPI Number
1205217809
Provider Name
Revive & Thrive Therapy LLC
Provider Entity Type
Organization
Address
173 E Grant Ave, Roselle Park, NJ 07204-2026
Phone Number
908-315-5947
Fax Number
908-344-5537
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Organization Subpart
No
Authorized Official
Arlene Vieira Anjos, LCSW · Member · 908-315-5947
Provider Enumeration Date
June 9, 2015
Last Update Date
June 16, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
173 E Grant Ave
Roselle Park, NJ 07204-2026
Zip
07204-2026
Phone Number
908-315-5947
Fax Number
908-344-5537
Roselle Park, NJ 07204Get directions →

Provider Business Mailing Address Details

Address
173 E Grant Ave
Roselle Park, NJ 07204-2026
City
Roselle Park
State
NJ
Zip
07204-2026
Phone Number
908-315-5947
Fax Number
908-344-5537

License Information

License Number
44SC05485900
License State
NJ
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Revive & Thrive Therapy LLC?

The NPI number of Revive & Thrive Therapy LLC is 1205217809. It was assigned on June 9, 2015 and is currently active in the NPPES registry.

What is the specialty of Revive & Thrive Therapy LLC?

Revive & Thrive Therapy LLC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05485900.

Where does Revive & Thrive Therapy LLC practice?

The practice location is 173 E Grant Ave, Roselle Park, NJ 07204-2026. The office can be reached at 908-315-5947 (phone) or 908-344-5537 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205217809 directly on the NPPES registry website.

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