| Revive Therapy Center Llc | |
|
7013 4th St Nw Ste C Los Ranchos NM 87107-6639 | |
| (505) 356-2200 | |
| (844) 272-7030 |
| Full Name | Revive Therapy Center Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 7013 4th St Nw Ste C, Los Ranchos, New Mexico |
| Authorized Official Name and Position | Sally Von Erffa (MARRIAGE AND FAMILY THERAPIST) |
| Authorized Official Contact | 5052526797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Therapy Center Llc 376 Los Ranchos Rd Nw Los Ranchos NM 87107-6532 Ph: (505) 252-6797 | Revive Therapy Center Llc 7013 4th St Nw Ste C Los Ranchos NM 87107-6639 Ph: (505) 356-2200 |
| NPI Number | 1457822462 |
|---|---|
| Provider Enumeration Date | 12/17/2018 |
| Last Update Date | 12/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457822462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Gabriela Miller Lmft, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6501 4th St Nw Ste E-2, Los Ranchos, NM 87107 Phone: 505-803-1923 | |
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Sacred Souls Home Health Care Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8115 Rio Grande Blvd Nw, Los Ranchos, NM 87114 Phone: 505-730-0356 | |
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