Organization
REVIVE BEHAVIORAL HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GINGER MARIE WILLIAMS DNP, CRNA, PMHNP-BC (MANAGER/PRACTITIONER)
(901) 317-7900
Entity
Organization
Contact information
Practice address
5820 STAGE RD, BARTLETT, TN 38134-4518
(901) 317-7900
(901) 317-7899
Mailing address
5820 STAGE RD, BARTLETT, TN 38134-4518
(901) 317-7900
(901) 317-7899
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/29/2024
Last updated
11/08/2024
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