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Organization
SLB REVIVE AND THRIVE WELLNESS P.C.
Active
Organization
SLB REVIVE AND THRIVE WELLNESS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE LYNN PARKER MSN, APRN, PMHNP-BC (FOUNDER)
(314) 948-4715
Entity
Organization
Contact information
Practice address
400 CHESTERFIELD CTR STE 457, CHESTERFIELD, MO 63017-4834
(314) 948-4715
(314) 579-3354
Mailing address
400 CHESTERFIELD CTR STE 457, CHESTERFIELD, MO 63017-4834
(314) 948-4715
(314) 579-3354
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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