Organization
SLB REVIVE AND THRIVE WELLNESS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE LYNN PARKER MSN, APRN, PMHNP-BC (FOUNDER)
(314) 948-4715
Entity
Organization
Contact information
Practice address
400 CHESTERFIELD CTR STE 457, CHESTERFIELD, MO 63017-4834
(314) 948-4715
(314) 579-3354
Mailing address
400 CHESTERFIELD CTR STE 457, CHESTERFIELD, MO 63017-4834
(314) 948-4715
(314) 579-3354
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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