Revive Ketamine and Wellness PC
Revive Ketamine and Wellness PC is a Health Service Clinic/Center in Lafayette, Indiana. Registered with an NPI since 2026.
- In the registry since
- 2026
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
210 Meijer Dr Ste CLafayette, IN 47905-4694
Phone: (765) 764-9305
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
| Health Service Clinic/Center (primary) | Taxonomy 261QH0100X |
|---|
Record details
| NPI number | 1841146214 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Nicholas Sansone — Dr · (773) 208-5872 |
| NPI enumerated | March 9, 2026 |
| Last updated in NPPES | March 9, 2026 |
| Certification date | March 9, 2026 |
| Mailing address | 3040 Lake Shore Dr, Michigan City, IN 46360-1708 |
Other providers in Lafayette
-
Lisa Arnett
1029 Shenandoah Dr, Lafayette, IN 47905-4361 · (765) 412-8253