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

Life Integrative Medicine

Organization Addiction Medicine (Psychiatry & Neurology) Physician · NPI 1326684259

Life Integrative Medicine is an Addiction Medicine (Psychiatry & Neurology) Physician in Wilmington, North Carolina. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
8

Practice location Address checks out

2018 Eastwood Rd
Wilmington, NC 28403-7228
Phone: (910) 787-1358
Fax: (910) 344-0379
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X
Addiction Medicine (Psychiatry & Neurology) Physician Taxonomy 2084A0401X
Obesity Medicine (Psychiatry & Neurology) Physician Taxonomy 2084B0002X
Neurodevelopmental Disabilities Physician Taxonomy 2084P0005X
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X
Geriatric Psychiatry Physician Taxonomy 2084P0805X
Pain Medicine (Psychiatry & Neurology) Physician Taxonomy 2084P2900X
Sports Medicine (Psychiatry & Neurology) Physician Taxonomy 2084S0010X

Record details

NPI number1326684259
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeremy Revell — Owner/Provider · (323) 216-0993
NPI enumeratedNovember 26, 2019
Last updated in NPPESNovember 26, 2019
Mailing address2018 Eastwood Rd, Wilmington, NC 28403-7228

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