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KOANN THERAPEUTIC SERVICES INC
NPI 1629861224
Nurse Practitioner - Psychiatric/Mental Health in Providence, RI

Active since May 27, 2025
845 N MAIN ST STE L1B, PROVIDENCE, RI 02904(401) 648-7172 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 23, 2026, May 27, 2025 (2 updates tracked since 2025).

About Koann Therapeutic Services Inc NPPES

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

KOANN THERAPEUTIC SERVICES INC (NPI 1629861224), doing business as Revive Therapeutic Services, is a healthcare organization registered as a psychiatric/mental health in Providence, Rhode Island and active in the NPI registry since May 2025. The organization lists Akos Antwi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629861224
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameKOANN THERAPEUTIC SERVICES INC
Location Address845 N MAIN ST STE L1BProvidence, RI 02904-5775
Mailing AddressPo Box 3085Pawtucket, RI 02861-0585 · (401) 648-7172
Phone(401) 648-7172
Organization SubpartYes
Authorized OfficialAkos AntwiCeo · (401) 648-7172
Enumeration DateMay 27, 2025
Last NPPES UpdateJanuary 23, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2026
✔ NPI 1629861224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedCase ManagementTaxonomy 251B00000X
845 N MAIN ST STE L1B, Providence, RI 02904
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Other Names 1

Doing Business AsRevive Therapeutic Services

Other Providers at the Same Location NPPES 2

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

TANYA SANITA THOMAS M.D.
Psychiatry & Neurology (Psychiatry)
845 N MAIN ST STE L1B
PROVIDENCE, RI 02904
Providence County (401) 863-3476
CHRISTIN LYNN BARDEN
Social Worker (Clinical)
845 N MAIN ST STE L1B
PROVIDENCE, RI 02904
Providence County (401) 648-7172

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Koann Therapeutic Services Inc's NPI number?

The NPI number for Koann Therapeutic Services Inc is 1629861224. It was assigned to this organization in the NPPES registry on May 27, 2025. The provider is doing business as Revive Therapeutic Services.

Where is Koann Therapeutic Services Inc located?

Koann Therapeutic Services Inc is located at 845 N Main St Ste L1b, Providence, RI 02904. The listed phone number is (401) 648-7172.

What is Koann Therapeutic Services Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Koann Therapeutic Services Inc was last updated on January 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.