Revive & Thrive Mental Health, Llc is a Psychology Clinic in Wichita, Kansas. It is located at 4013 N Ridge Rd Ste 110, Wichita, KS and its contact number is 316-631-2454. The authorized person for Revive & Thrive Mental Health, Llc is Evangeline Newsom
who is Owner of the clinic and his/her contact number is 316-201-6294. Revive & Thrive Mental Health, Llc Clinic is specialized 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 & Thrive Mental Health, Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Revive & Thrive Mental Health, Llc
Specialization:
Psychology
Clinic Address:
4013 N Ridge Rd Ste 110, Wichita, Kansas, 67205-8859
Phone:
316-631-2454
Fax:
316-247-6062
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:
Evangeline Newsom
Position:
Owner
Contact Number:
316-201-6294
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 & Thrive Mental Health, Llc clinic are as mentioned below.
NPI Number:
1356003628
NPI Enumeration Date:
13 Oct, 2021
NPI Last Update On:
07 Jul, 2024
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 & Thrive Mental Health, Llc are as mentioned below.
Specialization
License Number
State
Status
Psych/Mental Health
Primary
Addiction (Substance Use Disorder)
Secondary
Mental Health
Secondary
Professional
Secondary
Psychologist
Secondary
Cognitive & Behavioral
Secondary
Clinical
Secondary
Counseling
Secondary
Clinical Child & Adolescent
Secondary
Social Worker
Secondary
Clinical
Secondary
Marriage & Family Therapist
Secondary
Community/behavioral Health
Secondary
Adult Mental Health
Secondary
Adolescent and Children Mental Health
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
30004830030002
Medicaid
Kansas
363LP0808X
Other
Kansas
Taxonomy
30004842030001
Medicaid
Kansas
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Patients can reach Revive & Thrive Mental Health, Llc at 4013 N Ridge Rd Ste 110, Wichita, Kansas or can call to book an appointment on 316-631-2454. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.