Organization
REVIVAL PSYCHIATRY AND WELLNESS SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA N MBEBOH NP (OWNER)
(443) 410-6131
Entity
Organization
Contact information
Practice address
2059 BALTIMORE BLVD STE B, FINKSBURG, MD 21048-1301
(443) 410-6131
(410) 941-2766
Mailing address
2059 BALTIMORE BLVD STE B, FINKSBURG, MD 21048-1301
(443) 410-6131
(410) 941-2766
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/13/2025
Last updated
01/15/2026
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