REVIBE THERAPY
NPI 1457919516
Social Worker - Clinical in Orlando, FL

Q: What is Revibe Therapy PLLC's NPI number?

The NPI number for Revibe Therapy PLLC is 1457919516. It was assigned to this organization in the NPPES registry on June 4, 2019. The provider is doing business as Revibe Therapy.

Q: What is Revibe Therapy PLLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since June 04, 2019

6900 TAVISTOCK LAKES BLVD STE 400, ORLANDO, FL 32827(407) 801-2191 Get Directions Write a Review

NPPES record last updated: May 29, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 29, 2020, Aug 6, 2019, Jun 4, 2019 (3 updates tracked since 2019).

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About Revibe Therapy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REVIBE THERAPY (NPI 1457919516) is a healthcare organization registered as a clinical in Orlando, Florida and active in the NPI registry since June 2019. The organization lists Jose Miguel De La Cruz, Hypnotherapist/ Psychotherapist, as its authorized official.

NPPES Registry Identity

NPI1457919516

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameREVIBE THERAPY PLLC

Location Address6900 TAVISTOCK LAKES BLVD STE 400Orlando, FL 32827-7593

Mailing Address11901 Landing Point LoopOrlando, FL 32832-5904 · (407) 801-2191

Phone(407) 801-2191

Organization SubpartNo

Authorized OfficialJose Miguel De La CruzHypnotherapist/ Psychotherapist · (407) 801-2191

Enumeration DateJune 4, 2019

Last NPPES UpdateMay 29, 20203 updates tracked since enumeration

NPPES CertifiedMay 29, 2020

✔ NPI 1457919516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

6900 TAVISTOCK LAKES BLVD STE 400, Orlando, FL 32827

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Other Names 1

Doing Business AsRevibe Therapy

Other Identifiers 1

Medicaid1629635073FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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