institution
Revive Wellness, Llc
Psychiatric/Mental Health Nurse Practitioner in Mamou, Louisiana
NPI 1205583630

Revive Wellness, Llc is a Psychiatric/Mental Health Nurse Practitioner based in Carencro, LA and is specialized in Psychiatric/Mental Health. Revive Wellness, Llc practices in Mamou, LA. The NPI Number for Revive Wellness, Llc is 1205583630 and holds a License No. (Louisiana).

The current practice location address for Revive Wellness, Llc is 704 Poinciana Ave, Mamou, LA and can be reached out via phone at 337-468-4038.

Location: 704 Poinciana Ave, Mamou, LA, 70520-0821
institution
Provider Profile Details
NPI Number
1205583630
Provider Name
Revive Wellness, Llc
Credential
Provider Entity Type
Organization
Address
704 Poinciana Ave, Mamou, LA, 70520-0821
Phone Number
337-468-4038
Fax Number
Provider Enumeration Date
03/05/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
704 Poinciana Ave
City
State
Zip
70554-2224
Phone Number
337-468-4038
Fax Number
person
Provider Business Mailing Address Details
Address
704 Poinciana Ave
City
State
Zip
70554-2224
Phone Number
337-468-4038
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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