| Revive Wellness & Co | |
|
5335 Nueces Ln Grand Prairie TX 75052-2667 | |
| (972) 802-4892 | |
| Not Available |
| Full Name | Revive Wellness & Co |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5335 Nueces Ln, Grand Prairie, Texas |
| Authorized Official Name and Position | Samitriya L Moore (FOUNDER) |
| Authorized Official Contact | 9728024892 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Wellness & Co 5335 Nueces Ln Grand Prairie TX 75052-2667 Ph: (972) 802-4892 | Revive Wellness & Co 5335 Nueces Ln Grand Prairie TX 75052-2667 Ph: (972) 802-4892 |
| NPI Number | 1194502070 |
|---|---|
| Provider Enumeration Date | 09/13/2023 |
| Last Update Date | 09/13/2023 |
| Certification Date | 09/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194502070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Maedean Counseling And Consulting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2939 Cayuga Lane, Grand Prairie, TX 75054 Phone: 214-707-7748 | |
A Caring Place For Me Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3239 Guadaloupe, Grand Prairie, TX 75054 Phone: 682-521-7428 | |
Behavioral Healthcare Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2801 Osler Dr Bldg A, Suite 300, Grand Prairie, TX 75051 Phone: 817-265-2344 | |
Triumph Billing Svcs Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 W Polo Rd, Grand Prairie, TX 75052 Phone: 817-987-7936 | |
Mkram, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 614 Dalworth St, Grand Prairie, TX 75050 Phone: 972-264-9111 Fax: 972-264-9120 | |
Life Revise Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2321 S Belt Line Rd Ste 117, Grand Prairie, TX 75051 Phone: 817-821-3690 | |
Idera Behavioral Health Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3036 Larreta, Grand Prairie, TX 75054 Phone: 817-217-0662 |