institution
Revive Psychiatric Services, Llc
Psychiatric/Mental Health Nurse Practitioner in Lafayette, Louisiana
NPI 1225504962

Revive Psychiatric Services, Llc is a Psychiatric/Mental Health Nurse Practitioner based in Youngsville, LA and is specialized in Psychiatric/Mental Health. Revive Psychiatric Services, Llc practices in Lafayette, LA. The NPI Number for Revive Psychiatric Services, Llc is 1225504962 and holds a License No. (Louisiana).

The current practice location address for Revive Psychiatric Services, Llc is 4906 Ambassador Caffery Pkwy Bldg B, Lafayette, LA and can be reached out via phone at 337-450-9452 and via fax at 337-222-3934.

Location: 4906 Ambassador Caffery Pkwy Bldg B, Lafayette, LA, 70592-0530
institution
Provider Profile Details
NPI Number
1225504962
Provider Name
Revive Psychiatric Services, Llc
Credential
Provider Entity Type
Organization
Address
4906 Ambassador Caffery Pkwy Bldg B, Lafayette, LA, 70592-0530
Phone Number
337-450-9452
Fax Number
337-222-3934
Provider Enumeration Date
10/21/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4906 Ambassador Caffery Pkwy Bldg B
City
State
Zip
70508-6962
Phone Number
337-450-9452
Fax Number
337-222-3934
person
Provider Business Mailing Address Details
Address
4906 Ambassador Caffery Pkwy Bldg B
City
State
Zip
70508-6962
Phone Number
337-450-9452
Fax Number
337-222-3934
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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