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Revive Behavioral Health, Llc

Nurse Practitioner - Psychiatric/Mental Health

JORDAN MOORE
NPI: 1003601220Mount Vernon, Ohio, 43050(740) 501-4836

About Revive Behavioral Health, Llc

Revive Behavioral Health, Llc is a healthcare organization providing Nurse Practitioner - Psychiatric/Mental Health services, with specialized expertise in Psychiatric/Mental Health, registered under National Provider Identifier (NPI) number 1003601220.

The authorized official for Revive Behavioral Health, Llc is JORDAN MOORE. The organization is headquartered at 206 S MULBERRY ST STE A, Mount Vernon, Ohio 43050. The main office can be reached at (740) 501-4836.

Revive Behavioral Health, Llc has been NPI-registered since 2025.

Locations & Contact

Primary Location

Address
206 S MULBERRY ST STE A
City
Mount Vernon
State
Ohio
ZIP
43050-3331
Phone
(740) 501-4836
View on Google Maps

Authorized Official

Name
JORDAN MOORE

Mailing Address

Address
6130 SHARP RD
City
MOUNT VERNON
State
OH
ZIP
430509477

NPI Registration

Enumeration Date
Last Updated
Certification Date

Services & Taxonomy

Specialty & Classification

Primary Specialty
Nurse Practitioner - Psychiatric/Mental Health
Classification
Nurse Practitioner
Specialization
Psychiatric/Mental Health
Taxonomy Code
363LP0808X

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Revive Behavioral Health, Llc's NPI number?
Revive Behavioral Health, Llc's National Provider Identifier (NPI) is 1003601220. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Revive Behavioral Health, Llc specialize in?
Revive Behavioral Health, Llc specializes in Nurse Practitioner - Psychiatric/Mental Health.
Where is Revive Behavioral Health, Llc located?
Revive Behavioral Health, Llc practices at 206 S MULBERRY ST STE A, Mount Vernon, Ohio 43050. You can reach them by phone at (740) 501-4836.
Does Revive Behavioral Health, Llc accept Medicare?
Based on available data, Revive Behavioral Health, Llc is not currently enrolled in the Medicare program.
Does Revive Behavioral Health, Llc offer telehealth or virtual visits?
Revive Behavioral Health, Llc does not currently offer telehealth services. In-person visits are required at their practice location.

What is a Type 2 NPI (Organization)?

A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Revive Behavioral Health, Llc holds NPI 1003601220, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.