Revive Behavioral Health and Wellness LLC
NPI #1548926801 in Grand Island, Nebraska
Provider Information
- NPI Number
- 1548926801
- Entity Type
- Organization
- Organization Name
- Revive Behavioral Health and Wellness LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Nov 11, 2021
- Last Updated
- Sep 14, 2022
Practice Location
- Address
- 215 N WHEELER AVE
- City
- Grand Island
- State
- Nebraska
- ZIP Code
- 68801-5961
- Phone
- (308) 391-2280
Authorized Official
- Name
- ANGELA LYON, LICSW
- Title
- OWNER
- Phone
- (308) 850-4330
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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