Revive Counseling And Wellness Center
Social Worker, Clinical in Malden, Massachusetts
1558969840- Practice location
- 388 Pleasant St Ste 201A, Malden, MA 02148-8143
- Phone
- 617-329-1253
- Fax
- —
- Last updated
- October 9, 2020
Revive Counseling And Wellness Center is a healthcare organization based in Malden, MA. Revive Counseling And Wellness Center practices in Malden, MA. The NPI Number for Revive Counseling And Wellness Center is 1558969840. The current practice location address for Revive Counseling And Wellness Center is 388 Pleasant St Ste 201A, Malden, MA 02148-8143 and can be reached out via phone at 617-329-1253.
Provider Profile Details
- NPI Number
- 1558969840
- Provider Name
- Revive Counseling And Wellness Center
- Provider Entity Type
- Organization
- Address
- 388 Pleasant St Ste 201A, Malden, MA 02148-8143
- Phone Number
- 617-329-1253
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Organization Subpart
- No
- Authorized Official
- Lucia N Morales, LICSW · Psychotherapist · 617-329-1253
- Provider Enumeration Date
- October 9, 2020
- Last Update Date
- October 9, 2020
- Certification Date
- October 9, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 388 Pleasant St Ste 201A
Malden, MA 02148-8143 - City
- Malden
- State
- Massachusetts
- Zip
- 02148-8143
- Phone Number
- 617-329-1253
Provider Business Mailing Address Details
- Address
- 36 Kennard St
Malden, MA 02148-6013 - City
- Malden
- State
- MA
- Zip
- 02148-6013
- Phone Number
- 617-329-1253
License Information
- Taxonomy (1)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Taxonomy (2)
- Counselor, Mental Health · 101YM0800X
- Taxonomy (3)
- Clinic/Center · 261Q00000X
- Taxonomy (4)
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Taxonomy (5)
- Clinic/Center, Adult Mental Health · 261QM0850X
- Taxonomy (6)
- Clinic/Center, Adolescent and Children Mental Health · 261QM0855X
- Taxonomy (7)
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Counseling And Wellness Center?
The NPI number of Revive Counseling And Wellness Center is 1558969840. It was assigned on October 9, 2020 and is currently active in the NPPES registry.
What is the specialty of Revive Counseling And Wellness Center?
Revive Counseling And Wellness Center is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).
Where does Revive Counseling And Wellness Center practice?
The practice location is 388 Pleasant St Ste 201A, Malden, MA 02148-8143. The office can be reached at 617-329-1253 (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 1558969840 directly on the NPPES registry website.