NPI
Revive Wellness Center, LLC
Phone (203) 387-1540 · Fax (203) 387-8151 · NPI 1649347360
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2006-11-29
- Last updated
- 2018-11-05
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Specialties
Licenses
- License CT
- 205
- License CT
- 240
Location
- Practice location
- 867 Whalley Ave
- City
- New Haven CT
- Postal code
- 06515-1728
- Phone
- (203) 387-1540
- Fax
- (203) 387-8151
Organization contact
- Name
- Emmanuel Sergentakis
- Title
- Owner
- Phone
- (203) 387-1540
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Naturopath providers in New Haven, CT. 15 with this primary taxonomy in the public file.
Other NPIs in New Haven, CT. 10,634 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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