Active NPIOrganization

Revive Wellness LLC

Social Worker, Clinical in Naugatuck, Connecticut

NPI Number1235884073
Practice location
81 Wisteria Dr, Naugatuck, CT 06770-5235
Fax
—
Last updated
February 21, 2022

Revive Wellness LLC is a healthcare organization based in Naugatuck, CT. Revive Wellness LLC practices in Naugatuck, CT. The NPI Number for Revive Wellness LLC is 1235884073. The current practice location address for Revive Wellness LLC is 81 Wisteria Dr, Naugatuck, CT 06770-5235 and can be reached out via phone at 203-501-4624.

Provider Profile Details

NPI Number
1235884073
Provider Name
Revive Wellness LLC
Provider Entity Type
Organization
Address
81 Wisteria Dr, Naugatuck, CT 06770-5235
Phone Number
203-501-4624
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Organization Subpart
No
Authorized Official
Danielle Moraes, LCSW · Director · 203-501-4624
Provider Enumeration Date
February 21, 2022
Last Update Date
February 21, 2022
Certification Date
February 21, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
81 Wisteria Dr
Naugatuck, CT 06770-5235
Zip
06770-5235
Phone Number
203-501-4624
Naugatuck, CT 06770Get directions →

Provider Business Mailing Address Details

Address
81 Wisteria Dr
Naugatuck, CT 06770-5235
City
Naugatuck
State
CT
Zip
06770-5235
Phone Number
203-501-4624

License Information

Taxonomy (1)
Counselor, Professional · 101YP2500X
Taxonomy (2)
Marriage & Family Therapist · 106H00000X
Taxonomy (3)
Nurse Practitioner, Family · 363LF0000X
Taxonomy (4)
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 Wellness LLC?

The NPI number of Revive Wellness LLC is 1235884073. It was assigned on February 21, 2022 and is currently active in the NPPES registry.

What is the specialty of Revive Wellness LLC?

Revive Wellness LLC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).

Where does Revive Wellness LLC practice?

The practice location is 81 Wisteria Dr, Naugatuck, CT 06770-5235. The office can be reached at 203-501-4624 (phone).

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 1235884073 directly on the NPPES registry website.

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