NPI 1457822462

Revive Therapy Center LLC

Organisation Marriage & Family Therapist Los Ranchos, NM

Practice location

Address: 7013 4th St NW STE C, Los Ranchos, NM 87107-6639
Phone: (505) 356-2200
Fax: (844) 272-7030
Mailing address: 376 Los Ranchos Rd NW, Los Ranchos, NM 87107-6532

Authorised official

Name: Sally von Erffa
Title: Marriage and Family Therapist
Phone: (505) 252-6797

Registered specialties

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X

Other Marriage & Family Therapist providers in New Mexico →

Registry record

NPI: 1457822462
Entity type: Organization
NPI issued: 17 Dec 2018
Record last updated: 5 Dec 2024

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.