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Reviving Emotional Strength, LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) in Lawrenceville, GA. Organization (NPI-2).

NPI number1780142554
StatusActive
Last updated in NPPESMar 11, 2019

Details

NPI
1780142554
Entity type
Organization (NPI-2)
Legal business name
Reviving Emotional Strength, LLC
Organization subpart
No
Enumeration date
Mar 11, 2019
Last updated
Mar 11, 2019

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

2775 Cruse Rd Ste 102
Lawrenceville, GA 30044-7141

Phone 678-524-4688

Mailing address

1275 Opie Ln
Lawrenceville, GA 30045-2737

Phone 678-524-4688

Authorized official

Damiana Oni
Ceo
6785244688

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Lawrenceville, GA

All 14 Mental Health Clinic/Center (Including Community Mental Health Center) providers in Lawrenceville · All 5,967 providers in Lawrenceville

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