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REVIVAL LLC
NPI 1689444960
Nurse Practitioner - Psychiatric/Mental Health in Bangor, ME

Active since January 08, 2024
139 STATE ST STE 2, BANGOR, ME 04401(207) 843-9591 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Revival Llc NPPES

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

REVIVAL LLC (NPI 1689444960) is a healthcare organization registered as a psychiatric/mental health in Bangor, Maine and active in the NPI registry since January 2024. The organization lists Stephanie Riehl, Owner/cnp, as its authorized official.

NPPES Registry Identity

NPI1689444960
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameREVIVAL LLC
Location Address139 STATE ST STE 2Bangor, ME 04401-5317
Mailing Address51 Fletcher RdDover Foxcroft, ME 04426-3715
Phone(207) 843-9591
Organization SubpartNo
Authorized OfficialStephanie RiehlOwner/cnp · (207) 843-9591
Enumeration DateJanuary 8, 2024
NPPES CertifiedJanuary 7, 2024
✔ NPI 1689444960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
139 STATE ST STE 2, Bangor, ME 04401
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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 5

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

LENFEST CLINICAL SERVICES PLLC
Community/Behavioral Health
139 STATE ST STE 2
BANGOR, ME 04401
Penobscot County (207) 631-8968
HOLLY MERCHANT COUNSELING, PLLC
Counselor (Addiction (Substance Use Disorder))
139 STATE ST STE 2
BANGOR, ME 04401
Penobscot County (207) 281-4927
TRAVIS JEROME LENFEST LCSW, LADC, CCS
Social Worker (Clinical)
139 STATE ST STE 2
BANGOR, ME 04401
Penobscot County (207) 631-8968
MRS. HOLLY ANN MERCHANT LADC, CCS
Counselor (Addiction (Substance Use Disorder))
139 STATE ST STE 2
BANGOR, ME 04401
Penobscot County (207) 002-3178
MK BALDWIN LLC
Nurse Practitioner (Psychiatric/Mental Health)
139 STATE ST STE 2
BANGOR, ME 04401
Penobscot County (207) 573-2479

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 Revival LLC's NPI number?

The NPI number for Revival LLC is 1689444960. It was assigned to this organization in the NPPES registry on January 8, 2024.

Where is Revival LLC located?

Revival LLC is located at 139 State St Ste 2, Bangor, ME 04401. The listed phone number is (207) 843-9591.

What is Revival LLC'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 Revival LLC was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.