Revive Ketamine Clinic, PLLC
Revive Ketamine Clinic, PLLC is a Medical Specialty Clinic/Center in Bartlett, Tennessee. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5820 Stage RdBartlett, TN 38134-4518
Phone: (901) 317-7900
Fax: (901) 317-7899
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
| Medical Specialty Clinic/Center (primary) | Taxonomy 261QM2500X |
|---|---|
| Psychiatric/Mental Health Nurse Practitioner | Taxonomy 363LP0808X |
Record details
| NPI number | 1053984484 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ginger Williams — Owner/Practitioner · (901) 317-7900 |
| NPI enumerated | July 22, 2021 |
| Last updated in NPPES | April 15, 2024 |
| Certification date | April 15, 2024 |
| Mailing address | 5820 Stage Rd, Bartlett, TN 38134-4518 |