1356003628 REVIVE & THRIVE MENTAL HEALTH, LLC

Psychiatric/Mental Health Nurse Practitioner

Active

Basic Information

Organization Name
REVIVE & THRIVE MENTAL HEALTH, LLC
Enumeration Date
October 13, 2021
Last Update
July 7, 2024
Authorized Official
EVANGELINE NEWSOM
OWNER
Phone: (316) 201-6294

Practice Location

Address
4013 N RIDGE RD STE 110
WICHITA, KS 672058859
Phone
(316) 631-2454
Fax
(316) 247-6062

Mailing Address

Address
4013 N RIDGE RD STE 110
WICHITA, KS 672058859
Phone
(316) 201-6294
Fax
(316) 364-3020

Specialties & Taxonomies

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

Other Identifiers

Identifier Type State Issuer
30004830030002 05 KS N/A
363LP0808X 01 KS TAXONOMY
30004842030001 05 KS N/A

Digital Endpoints

DIRECT Use: DIRECT

admin@revivewichita.org

Direct Contact

Frequently Asked Questions

What is REVIVE & THRIVE MENTAL HEALTH, LLC's NPI number?
REVIVE & THRIVE MENTAL HEALTH, LLC's NPI number is 1356003628.
Which doctor has NPI number 1356003628?
The doctor with NPI number 1356003628 is REVIVE & THRIVE MENTAL HEALTH, LLC.
What is REVIVE & THRIVE MENTAL HEALTH, LLC's practice address?
REVIVE & THRIVE MENTAL HEALTH, LLC's practice address is 4013 N RIDGE RD STE 110, WICHITA, KS, 672058859.
Which doctor practices at 4013 N RIDGE RD STE 110, WICHITA, KS, 672058859?
REVIVE & THRIVE MENTAL HEALTH, LLC practices at 4013 N RIDGE RD STE 110, WICHITA, KS, 672058859.
What is REVIVE & THRIVE MENTAL HEALTH, LLC's phone number?
REVIVE & THRIVE MENTAL HEALTH, LLC's phone number is (316) 631-2454.
Who is (316) 631-2454?
(316) 631-2454 is the phone number for REVIVE & THRIVE MENTAL HEALTH, LLC.
What is REVIVE & THRIVE MENTAL HEALTH, LLC's specialty?
REVIVE & THRIVE MENTAL HEALTH, LLC's specialty is Psychiatric/Mental Health Nurse Practitioner.
What type of doctor is REVIVE & THRIVE MENTAL HEALTH, LLC?
REVIVE & THRIVE MENTAL HEALTH, LLC is a Psychiatric/Mental Health Nurse Practitioner.
Is REVIVE & THRIVE MENTAL HEALTH, LLC a Psychiatric/Mental Health?
Yes, REVIVE & THRIVE MENTAL HEALTH, LLC is a Psychiatric/Mental Health.
Is REVIVE & THRIVE MENTAL HEALTH, LLC still practicing?
Yes, REVIVE & THRIVE MENTAL HEALTH, LLC is currently practicing.
Is REVIVE & THRIVE MENTAL HEALTH, LLC accepting new patients?
REVIVE & THRIVE MENTAL HEALTH, LLC may be accepting new patients. Please call their office at (316) 631-2454 to inquire about availability.
Is NPI 1356003628 still active?
Yes, NPI 1356003628 is currently active.
Where does REVIVE & THRIVE MENTAL HEALTH, LLC practice?
REVIVE & THRIVE MENTAL HEALTH, LLC practices in WICHITA, KS.