REVIVE COUNSELING AND WELLNESS SERVICES LLC (NPI# 1891271862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891271862 |
| Entity Type | Organization |
| Organization Name | REVIVE COUNSELING AND WELLNESS SERVICES LLC |
| Practice Address |
284 Racebrook Rd Ste 200 Orange CT 06477-3103 |
| Mailing Address |
Po Box 92 Ansonia CT 06401-0092 |
| Practice Telephone | 2037140543 |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2018-07-12 |
| Authorized Official Name | SAPRINA GEE (THERAPIST/OWNER) |
| Authorized Official Telephone | 2037140543 |
| Authorized Official Credential | MS, LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | REVIVE COUNSELING AND WELLNESS SERVICES LLC | 284 Racebrook Road Suite 200, Orange, CT 06477 |
| Street Address |
284 RACEBROOK RD STE 200 |
| City | ORANGE |
| State | CT |
| Zip Code | 06477-3103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881207207 | Kevin Cheung | Registered Nurse | 499 West Campus Drive, Orange, CT 06477 | 2020-08-25 |
| 1629539051 | Leah Kragh | Occupational Therapist | 308 Racebrook Road, Unit A, Orange, CT 06477 | 2019-03-28 |
| 1871076315 | Mario Paredes | Physical Therapist | 240 Indian River Rd Ste B7b8, Orange, CT 06477 | 2018-09-11 |
| 1790201499 | Amy Elise Roth | Speech-Language Pathologist | 308 Racebrook Road, Orange, CT 06477 | 2017-08-15 |
| 1720435092 | Eric Han | Obstetrics & Gynecology | 100 West Campus Drive, Orange, CT 06477 | 2016-05-17 |
| 1467838730 | Dr. Margaret Azzarella LLC | Chiropractor | 472 Boston Post Road, Orange, CT 06477 | 2015-08-10 |
| 1790114866 | The Eye Care Group | Eyewear Supplier (Equipment, not the service) | 250 Indian River Road, Orange, CT 06477 | 2013-11-08 |
| 1609111814 | Michael L Crane | Counselor | 426 Taulman Rd, Orange, CT 06477 | 2012-11-29 |
| 1316183726 | Sarah E Halloran | Physician Assistant | 240 Indian River Rd Ste B1, Orange, CT 06477 | 2009-01-07 |
| 1558482075 | Jasdeep Sidana | Internal Medicine | 521 Boston Post Road, Orange, CT 06477 | 2007-04-02 |
| Find all providers in zip 06477 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922628759 | Brian Troy Burgess | Counselor | 767 N Highland St, Orange, CA 92867-7104 | 2020-04-22 |
| 1396197794 | Addys Santos | Counselor | 309 Elizabeth St, Orange, NJ 07050-2810 | 2016-07-08 |
| 1164805552 | Luke Purgahn | Counselor | 4711 Frost Pl, Orange, TX 77630-2830 | 2015-07-02 |
| 1346677176 | Lisa Maddox | Counselor | 1107 E Chapman Ave, Suite 100, Orange, CA 92866-2101 | 2013-10-11 |
| 1609111814 | Michael L Crane | Counselor | 426 Taulman Rd, Orange, CT 06477 | 2012-11-29 |
| 1881998367 | Evelyn Anderson Lpc | Counselor | 805 Henderson Ave, Orange, TX 77630-6325 | 2010-12-27 |
| 1700939865 | Glen Prince | Counselor | 6757 Guy Ln, Orange, TX 77632-3922 | 2007-01-19 |
| 1669010948 | Beverly Ann Canady | Counselor | 116 Main St, Orange, NJ 07050-4059 | 2019-12-17 |
| 1790326593 | Anne Marie Elena Ruta Buchanan | Counselor | 594 N Glassell St, Orange, CA 92867-6748 | 2019-10-02 |
| 1588213292 | Lauren Renee Stava | Counselor | 401 S Tustin St Bldg D, Orange, CA 92866-2550 | 2019-09-05 |
| Find all providers in ORANGE | ||||
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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.