Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Koann Therapeutic Services Inc

Organization Registered Nurse · NPI 1639843303

Koann Therapeutic Services Inc is a Registered Nurse in Providence, Rhode Island. Works from 3 locations. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
7
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

845 N Main St
Providence, RI 02904-5700
Phone: (401) 648-7172
Fax: (401) 648-0161
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 53 Chester St, Somerville, MA 02144-3059 — (401) 648-7172
  • 1009 Frederick Rd, Catonsville, MD 21228-5055 — (401) 648-7172

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Registered Nurse Taxonomy 163W00000X
Child & Adolescent Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0807X
Adult Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0809X
Case Management Agency Taxonomy 251B00000X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X

Record details

NPI number1639843303
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Akos Antwi — Provider/Ceo · (401) 648-7172
Other names Revive Therapeutic Services; Revive Therapeutic Services
NPI enumeratedAugust 5, 2021
Last updated in NPPESJanuary 12, 2026
Certification dateJanuary 12, 2026
Mailing addressPo Box 3085, Pawtucket, RI 02861-0585

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