Organization
REVIVE BEHAVIORAL HEALTH
Active
Other names
Revive Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
HAILEY MAZZEI (OWNER)
(804) 490-3226
Entity
Organization
Contact information
Practice address
416 3RD ST STE D, PETERSBURG, VA 23803-3300
(804) 653-7009
(804) 773-4688
Mailing address
416 3RD ST STE D, PETERSBURG, VA 23803-3300
(804) 653-7009
(804) 773-4688
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
—
—
Other
Enumeration date
04/18/2024
Last updated
09/13/2025
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