# REVITALIZING REMEDIES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497411938
- **Authorized official:** FIORELLA PARADISI APN (OWNER/CLINICIAN PROVIDER)
- **Authorized official phone:** (201) 727-3241

## Contact information

- **Practice address:** 52 NEWTON SPARTA RD STE 1, ANDOVER, NJ 07860-2723
- **Practice address phone:** (201) 727-3241
- **Practice address fax:** (201) 727-3241
- **Mailing address:** 52 NEWTON SPARTA RD, NEWTON, NJ 07860-2723
- **Mailing address phone:** (201) 727-3241
- **Mailing address fax:** (201) 727-3241

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 163W00000X | Registered Nurse | — | NULL | — |
| 163W00000X | Registered Nurse | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 246RP1900X | Phlebotomy Technician | — | NULL | — |
| 246RP1900X | Phlebotomy Technician | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/09/2021
- **Last updated:** 11/09/2021