Revive & Thrive Mental Health, LLC
Revive & Thrive Mental Health, LLC is an Addiction (Substance Use Disorder) Counselor in Wichita, Kansas. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 15
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4013 N Ridge Rd Ste 110Wichita, KS 67205-8859
Phone: (316) 631-2454
Fax: (316) 247-6062
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X |
| Mental Health Counselor | Taxonomy 101YM0800X |
| Professional Counselor | Taxonomy 101YP2500X |
| Psychologist | Taxonomy 103T00000X |
| Cognitive & Behavioral Psychologist | Taxonomy 103TB0200X |
| Clinical Psychologist | Taxonomy 103TC0700X |
| Counseling Psychologist | Taxonomy 103TC1900X |
| Clinical Child & Adolescent Psychologist | Taxonomy 103TC2200X |
| Social Worker | Taxonomy 104100000X |
| Clinical Social Worker | Taxonomy 1041C0700X |
| Marriage & Family Therapist | Taxonomy 106H00000X |
| Community/Behavioral Health Agency | Taxonomy 251S00000X |
| Adult Mental Health Clinic/Center | Taxonomy 261QM0850X |
| Adolescent and Children Mental Health Clinic/Center | Taxonomy 261QM0855X |
Record details
| NPI number | 1356003628 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Evangeline Newsom — Owner · (316) 201-6294 |
| NPI enumerated | October 13, 2021 |
| Last updated in NPPES | July 7, 2024 |
| Certification date | July 7, 2024 |
| Mailing address | 4013 N Ridge Rd Ste 110, Wichita, KS 67205-8859 |
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