Organization
REVIVE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISHA CUFFEE NP (OWNER)
(240) 744-0540
Entity
Organization
Contact information
Practice address
20 F ST NW FL 7, WASHINGTON, DC 20001-6700
(240) 744-0540
(866) 538-1415
Mailing address
10440 LITTLE PATUXENT PKWY STE 300, COLUMBIA, MD 21044-3648
(240) 744-0540
(866) 538-1415
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
10/28/2025
Last updated
05/12/2026
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