REVIVE PSYCHIATRIC SERVICES, LLC

LAFAYETTE, LA
NPI1225504962
Entity TypeOrganization
Authorized ContactSETH BOWERS
Owner
337-247-2533
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2018-10-21
Last Update Date2021-03-11
Business Address
REVIVE PSYCHIATRIC SERVICES, LLC
4906 AMBASSADOR CAFFERY PKWY BLDG B
LAFAYETTE, LA 70508-6962
Phone number: 337-450-9452
Mailing Address
REVIVE PSYCHIATRIC SERVICES, LLC
PO BOX 530
YOUNGSVILLE, LA 70592-0530
Phone number:
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