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

Revive Health LLC

Organization Psychiatric/Mental Health Clinical Nurse Specialist · NPI 1003530502

Revive Health LLC is a Psychiatric/Mental Health Clinical Nurse Specialist in Laurel, Maryland. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13715 Oaklands Manor Dr
Laurel, MD 20708-1430
Phone: (443) 945-8482
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Clinical Nurse Specialist (primary) Taxonomy 364SP0808X

Record details

NPI number1003530502
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maria Tancho — Ceo · (443) 945-8482
NPI enumeratedSeptember 28, 2022
Last updated in NPPESSeptember 28, 2022
Certification dateSeptember 28, 2022
Mailing address13715 Oaklands Manor Dr, Laurel, MD 20708-1430

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