Revive Life House Outpatient Center is a Psychology Clinic in Nicholasville, Kentucky. It is located at 800 S. Main Street, Suite C., Nicholasville, KY and its contact number is 859-241-5174. The authorized person for Revive Life House Outpatient Center is Todd Johns
who is Ceo of the clinic and his/her contact number is 859-354-9841. Revive Life House Outpatient Center Clinic specialize in psychological testing and evaluating or assessing patient's personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning. Accordingly, psychologists performs counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy. Psychologists can diagnose and treat mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability by psycheducational evaluation, therapy, remediation, and consultation.
Complete Clinic Profile:
Revive Life House Outpatient Center Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Revive Life House Outpatient Center
Specialization:
General Psychology
Clinic Address:
800 S. Main Street, Suite C., Nicholasville, Kentucky, 40356-1868
Phone:
859-241-5174
Fax:
859-305-6004
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Todd Johns
Position:
Ceo
Contact Number:
859-354-9841
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Revive Life House Outpatient Center clinic are as mentioned below.
NPI Number:
1891370185
NPI Enumeration Date:
17 Mar, 2021
NPI Last Update On:
18 Nov, 2022
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Revive Life House Outpatient Center are as mentioned below.
Specialization
License Number
State
Status
Addiction (Substance Use Disorder)
Primary
Psychologist
Secondary
Marriage & Family Therapist
Secondary
Family
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
7100737830
Medicaid
Kentucky
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Revive Life House Outpatient Center 800 S. Main Street, Suite C. Nicholasville, Kentucky
Zip:
40356-1868
Phone Number:
859-241-5174
Fax Number:
859-305-6004
Patients can reach Revive Life House Outpatient Center at 800 S. Main Street, Suite C., Nicholasville, Kentucky or can call to book an appointment on 859-241-5174. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.