Revive Wellness and Aesthetics LLC
Revive Wellness and Aesthetics LLC is a Primary Care Clinic/Center in Indianola, Mississippi. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
110A S Mlk Jr DrIndianola, MS 38751-2622
Phone: (662) 445-2213
Fax: (662) 445-2214
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
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X |
|---|
Record details
| NPI number | 1669291308 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Emily Aust — Cfnp/Owner · (662) 445-2213 |
| NPI enumerated | October 9, 2024 |
| Last updated in NPPES | October 9, 2024 |
| Certification date | October 9, 2024 |
| Mailing address | 110a S Mlk Jr Dr, Indianola, MS 38751-2622 |
Other providers in Indianola
-
Indianola Wellness Clinic, LLC
131 Main St, Indianola, MS 38751-2849 · (662) 303-3743