# REVIVING LIFE MENTAL HEALTH SERVICES LLC

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

## Provider details

- **NPI number:** 1669259735
- **Authorized official:** PAULINE EKEH (APN)
- **Authorized official phone:** (908) 361-7498

## Contact information

- **Practice address:** 305 ROSEBERRY ST, PHILLIPSBURG, NJ 08865-1600
- **Practice address phone:** (908) 361-7498
- **Mailing address:** 305 ROSEBERRY ST, PHILLIPSBURG, NJ 08865-1600
- **Mailing address phone:** (908) 361-7498

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | — | NULL | Yes |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | — | — | Yes |

## Other

- **Enumeration date:** 09/12/2023
- **Last updated:** 02/08/2024