REVIVE THERAPEUTIC SERVICES (NPI# 1609330463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609330463 |
| Entity Type | Organization |
| Organization Name | REVIVE THERAPEUTIC SERVICES |
| Practice Address |
2205 Woodleaf Rd Apt 7h Salisbury NC 28147-1181 |
| Practice Telephone | 2527629788 |
| Mailing Telephone | 2527629788 |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2019-01-25 |
| Authorized Official Name | MS. LEANDRA SALLEY (PARTNER) |
| Authorized Official Telephone | 2527629788 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
2205 WOODLEAF RD APT 7H |
| City | SALISBURY |
| State | NC |
| Zip Code | 28147-1181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700397908 | The Young Men's Christian Association of Rowan County, N.c., Inc. | Health Educator | 828 Jake Alexander Blvd., West, Salisbury, NC 28147 | 2017-10-16 |
| 1417490202 | Angels At Heart Assisted Living | PACE Provider Organization | 140 Kent Road, Salisbury, NC 28147 | 2016-11-28 |
| 1780047316 | Lugina Dumas | Counselor | 1100 Litaker Farm Road, Salisbury, NC 28147 | 2016-03-31 |
| 1689054777 | Travis Howell | Occupational Therapist | 548 White Oak Drive, Apt 310, Salisbury, NC 28147 | 2015-06-03 |
| 1790115384 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 1361 Klumac Road, Salisbury, NC 28147 | 2013-11-18 |
| 1336499409 | Ashley Elizabeth Jones | Speech-Language Pathologist | 701julian Road, Salisbury, NC 28147 | 2012-09-14 |
| 1730489360 | Shepherd's Home Care | Home Health | 1953 W Jake Alexander Blvd, 2, Salisbury, NC 28147 | 2010-10-29 |
| 1346369006 | Denise Murphy | Occupational Therapist | 548 White Oaks Dr, Salisbury, NC 28147 | 2007-03-27 |
| 1205992203 | Robert N Whitaker Jr Md Pa | Otolaryngology | 330 Jake Alexander Blvd West Suite 101, Salisbury, NC 28147 | 2006-12-28 |
| 1720174162 | Michael Steven Binder | Chiropractor | 2124 Statesville Blvd, Salisbury, NC 28147 | 2006-10-05 |
| Find all providers in zip 28147 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841803038 | Ellis Butler, Ph.d., LLC | Counselor | 507 W Innes St Ste 270, Salisbury, NC 28144-4265 | 2020-08-26 |
| 1639716103 | Stefanie Danita White | Counselor | 1504 Jake Alexander Blvd W, Salisbury, NC 28147-1213 | 2019-12-04 |
| 1821646324 | Diane Palmer | Counselor | 2324 West Zion Rd., Suit 112, Salisbury, MD 21801 | 2019-08-28 |
| 1578125340 | Lifes Energy Wellness Center Inc. | Counselor | 2324 West Zion Road Suite 112, Suite 112, Salisbury, MD 21804 | 2019-07-02 |
| 1134683238 | Amelia Carmel Hasty-rhodes | Counselor | 303 Saint Johns Dr, Salisbury, NC 28144-9014 | 2019-01-23 |
| 1588142350 | Tabitha Payne | Counselor | 540 Riverside Dr Ste 7, Salisbury, MD 21801-5352 | 2018-08-02 |
| 1881181774 | Aushae Deshields | Counselor | 8182 Brown Rd, Salisbury, MD 21804-2206 | 2018-04-17 |
| 1275038945 | Lisa L Eimer | Counselor | 1980 Earnhardt Rd, Salisbury, NC 28146-2277 | 2018-03-26 |
| 1669970331 | Youth Care Center Incorporated | Counselor | 1504 S Salisbury Blvd Ste 22, Salisbury, MD 21801-7165 | 2018-01-29 |
| 1356875256 | Judith Arnold | Counselor | 130 E Main St Fl 3, Salisbury, MD 21801-5036 | 2017-04-18 |
| Find all providers in SALISBURY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.