NPI Index

REVIVE & THRIVE MENTAL HEALTH, LLC

Nurse Practitioner - Psychiatric/Mental Health

Active Organization
NPI: 1356003628

Practice Address

4013 N RIDGE RD STE 110
Wichita, KS 67205

Phone: (316) 631-2454

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X No -
Counselor - Mental Health 101YM0800X No -
Counselor - Professional 101YP2500X No -
Psychologist 103T00000X No -
Psychologist - Cognitive & Behavioral 103TB0200X No -
Psychologist - Clinical 103TC0700X No -
Psychologist - Counseling 103TC1900X No -
Psychologist - Clinical Child & Adolescent 103TC2200X No -
Social Worker 104100000X No -
Social Worker - Clinical 1041C0700X No -
Marriage & Family Therapist 106H00000X No -
Community/Behavioral Health 251S00000X No -
Clinic/Center - Adult Mental Health 261QM0850X No -
Clinic/Center - Adolescent and Children Mental Health 261QM0855X No -
Nurse Practitioner - Psychiatric/Mental Health 363LP0808X Yes -

Frequently Asked Questions

NPI 1356003628 is the National Provider Identifier for REVIVE & THRIVE MENTAL HEALTH, LLC, a Nurse Practitioner - Psychiatric/Mental Health provider located in Wichita, KS. This NPI was enumerated on October 13, 2021.

Quick Facts

NPI
1356003628
Type
Organization
Enumerated
Oct 13, 2021
Last Updated
Jul 7, 2024

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