| Revive Wellness Company | |
|
7369 River Pointe Dr Apt 13 North Little Rock AR 72113-7087 | |
| (501) 318-3760 | |
| Not Available |
| Full Name | Revive Wellness Company |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 7369 River Pointe Dr Apt 13, North Little Rock, Arkansas |
| Authorized Official Name and Position | Jennifer Schalow (CLINICAL DIRECTOR) |
| Authorized Official Contact | 5013183760 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Wellness Company 5512 Southall Dr Sw Apt A Bolling Afb DC 20032-7609 Ph: (501) 318-3760 | Revive Wellness Company 7369 River Pointe Dr Apt 13 North Little Rock AR 72113-7087 Ph: (501) 318-3760 |
| NPI Number | 1851070882 |
|---|---|
| Provider Enumeration Date | 07/17/2023 |
| Last Update Date | 07/17/2023 |
| Certification Date | 07/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851070882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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