Revive Wellness Group, LLC

NPI #1154977064 in Land O Lakes, Florida

Provider Information

NPI Number: 1154977064
Entity Type: Organization
Organization Name: Revive Wellness Group, LLC
Primary Specialty: Counselor - Mental Health
Enumeration Date: Aug 15, 2019
Last Updated: Jun 5, 2023

Practice Location

Address: 2647 NARNIA WAY UNIT 102
City: Land O Lakes
State: Florida
ZIP Code: 34638-7270
Phone: (407) 250-7831

Authorized Official

Name: MRS. LEIGHYA J RICHARD, LMHC
Title: OWNER/LICENSED PSYCHOTHERAPIST
Phone: (407) 250-7831

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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