Revive Life Ministries, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

REVIVE LIFE MINISTRIES, INC.

Doing business as

CrossPointe Wellness

Practice address

920 Frederica St Ste 105
Owensboro, KY 42301-3076

Phone

(270) 215-1827

Fax

(270) 215-5747

NPI assigned

Nov 9, 2017

Last updated

Dec 8, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

William Gammon, LCPCNPI 1326574278

Title

President

Phone

(270) 215-1827

Specialties & licenses 2

Addresses

Other names 1

• CrossPointe Wellness Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Gammon

  • Pastoral Counselor
  • Owensboro, KY
  • NPI 1326574278
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544227200000",
    "number": "1205349586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 322",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423020322",
            "telephone_number": "270-215-1827",
            "fax_number": "270-215-5747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 FREDERICA ST STE 105",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423013076",
            "telephone_number": "270-215-1827",
            "fax_number": "270-215-5747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE LIFE MINISTRIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-09",
        "last_updated": "2018-12-08",
        "status": "A",
        "authorized_official_last_name": "GAMMON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-215-1827",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "KY",
            "license": "18402",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CrossPointe Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Reisz Pharmaceuticals Vital Care, Inc. (Reisz Pharmaceuticals Vital Care)
• Juanita Reisz, RPH
• Cecille Peralta Reloj, DNAP, CRNA, CRNA
• Renal Treatment Centers-Illinois Inc (Owensboro Dialysis Center)
• Emily Reusch, OCCUPATIONAL THERAPY
• Dawn Renee Reyes, RPH
• Holly M Reymolds, MSCCC/SLP
• Daniel Ada Reynolds, D.M.D.
• Marybeth Blair Reynolds, DMD
• Rha Health Services Ky LLC

• Community/Behavioral Health Agency in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Community/Behavioral Health Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.