Myah A Revis, is a
Psychologist - Clinical based in La Vergne, Tennessee. Myah A Revis is licensed to practice in Mississippi (license number NA) and her current practice location is
159 Ramsden Ave, La Vergne, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(513) 714-2562.
NPI number for Myah A Revis is 1316837966 and her current mailing address is 159 Ramsden Ave, La Vergne, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316837966.
Healthcare Provider's Profile
| Full Name | Myah A Revis |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 159 Ramsden Ave, La Vergne, Tennessee |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1316837966
- Provider Enumeration Date: 07/07/2025
- Last Update Date: 07/07/2025
Medical Identifiers
Medical identifiers for Myah A Revis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316837966 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | NA (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Myah A Revis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Myah A Revis,
159 Ramsden Ave,
La Vergne, TN 37086-1485
Ph: (513) 714-2562 | Myah A Revis,
159 Ramsden Ave,
La Vergne, TN 37086-1485
Ph: (513) 714-2562 |
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