NPI 1003797176
Revive Clinic LLC
Practice location
- Address
- 10440 Little Patuxent Pkwy STE 300, Columbia, MD 21044-3648
- Phone
- (240) 744-0540
- Fax
- (866) 538-1415
Authorised official
- Name
- Denisha Cuffee
- Title
- Owner/Provider
- Phone
- (240) 744-0540
Registered specialties
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
Registry record
- NPI
- 1003797176
- Entity type
- Organization
- NPI issued
- 8 Sep 2025
- Record last updated
- 12 May 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.