Revival Wellness & Ketamine
Revival Wellness & Ketamine is a Mental Health Clinic/Center (Including Community Mental Health Center) in Chantilly, Virginia. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
4200B Technology CtChantilly, VA 20151-1214
Phone: (703) 988-3984
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X |
|---|
Record details
| NPI number | 1093514655 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Nicole Watson — Founder · (703) 988-3984 |
| NPI enumerated | March 7, 2025 |
| Last updated in NPPES | November 3, 2025 |
| Certification date | November 3, 2025 |
| Mailing address | 4200b Technology Ct, Chantilly, VA 20151-1214 |
Other providers in Chantilly
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David C Heebner, LLC
14143 Robert Paris Ct, Chantilly, VA 20151-4201 · (703) 403-2773
-
Erin McCann Counseling, LLC
4229 Lafayette Center Dr Ste 1200, Chantilly, VA 20151-1265 · (571) 577-8686