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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LIFE REVIVAL LLC

Active Organization

LIFE REVIVAL LLC is a Community/Behavioral Health organization located in PHILADELPHIA, Pennsylvania. NPI 1023701067 is currently active in the NPPES registry. Verify at CMS.

Community/Behavioral Health · PHILADELPHIA, PA

Registration Details

NPI Number
1023701067
Provider Type
Organization
NPI Issued
May 26, 2023 (3.2324363882832 yrs)
Last Updated
Feb 11, 2025

Practice Information

Address
6404 ROOSEVELT BLVD
PHILADELPHIA, PA, 191492943
Browse PA providers · Browse ZIP 19149
Phone
2675777747
Primary Specialty
Community/Behavioral Health
251S00000X
Additional Specialty
Counseling Psychologist
Additional Specialty
Family Psychologist
Additional Specialty
Psychoanalysis (Psychologist)
Additional Specialty
Geriatric Psychologist

Other Community/Behavioral Health Organizations in PHILADELPHIA, PA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.