Revive Life LLC
Revive Life LLC is a Psychologist in Gaithersburg, Maryland. Registered with an NPI since 2025.
- In the registry since
- 2025
- Specialties on file
- 4
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
316 E Diamond AveGaithersburg, MD 20877-3070
Phone: (206) 898-5432
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
| Multi-Specialty Clinic/Center (primary) | Taxonomy 261QM1300X |
|---|---|
| Psychologist | Taxonomy 103T00000X |
| Clinical Social Worker | Taxonomy 1041C0700X |
| Psychiatry Physician | Taxonomy 2084P0800X |
Record details
| NPI number | 1740081223 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Radhika Nataraj — Authorized Official · (301) 252-1866 |
| NPI enumerated | March 21, 2025 |
| Last updated in NPPES | March 25, 2026 |
| Certification date | March 25, 2026 |
| Mailing address | 316 E Diamond Ave, Gaithersburg, MD 20877-3070 |
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