Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
REVIVAL WELLNESS & KETAMINE
Active OrganizationREVIVAL WELLNESS & KETAMINE is a Mental Health Clinic organization located in CHANTILLY, Virginia. NPI 1093514655 is currently active in the NPPES registry. Verify at CMS.
Mental Health Clinic · CHANTILLY, VA
Registration Details
- NPI Number
- 1093514655
- Provider Type
- Organization
- NPI Issued
- Mar 7, 2025 (1.4841764512616 yrs)
- Last Updated
- Nov 3, 2025
Practice Information
- Address
-
4200B TECHNOLOGY CTCHANTILLY, VA, 201511214Browse VA providers · Browse ZIP 20151
- Phone
- 7039883984
- Primary Specialty
-
Mental Health Clinic
261QM0801X
Other Mental Health Clinic Organizations in CHANTILLY, VA
| Name | NPI |
|---|---|
| ERIN MCCANN COUNSELING, LLC | 1760962070 |
| DAVID C HEEBNER, LLC | 1245807700 |
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.