Reviving Emotional Strength, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

REVIVING EMOTIONAL STRENGTH, LLC

Practice address

2775 Cruse Rd Ste 102
Lawrenceville, GA 30044-7141

Phone

(678) 524-4688

NPI assigned

Mar 11, 2019

Organization subpart

No

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

Authorized official

Name

Damiana Oni, LCSW

Title

Ceo

Phone

(678) 524-4688

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552262400000",
    "number": "1780142554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 OPIE LN",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300452737",
            "telephone_number": "678-524-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 CRUSE RD STE 102",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300447141",
            "telephone_number": "678-524-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVING EMOTIONAL STRENGTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-11",
        "last_updated": "2019-03-11",
        "status": "A",
        "authorized_official_last_name": "ONI",
        "authorized_official_first_name": "DAMIANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-524-4688",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rev Healthcare Services Inc
• Revive Medical Center, LLC
• Reviving Crowns Solutions LLC
• Reviving Crowns Solutions LLC
• Reviving Crowns Solutions LLC
• Arturo Eduardo Reyes Banos, PA
• Charlie Reyes Torreblanca
• Sandy Estephane Reyes
• Tonique L. Reynolds-Morgan, DMD
• Ilyana Reynoso, NP

• Mental Health Clinic/Center (Including Community Mental Health Center) in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.