OrganizationActive
Pd Revival Medical, PLLC
NPI 1124764030 · Mental Health Clinic/Center (Including Community Mental Health Center) · Helena, MT
Provider details
- NPI number
- 1124764030
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Hanna Powers, Pmhnp(307) 272-0843
Specialties & taxonomies
Ambulatory Health Care Facilities
- Medical Physician Assistant363AM0700X
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
- Certified Registered Nurse Anesthetist367500000X
Physician Assistants & Advanced Practice Nursing Providers
- Marriage & Family Therapist106H00000X
Behavioral Health & Social Service Providers
Practice location
3130 Saddle Dr Suite 6b
Helena, MT 59601-8644
Phone: (307) 272-0843
Approximate (ZIP-level) locationGet directions
Mailing address
3130 Saddle Dr
Helena, MT 59601-8644
Registry dates
- Enumerated
- 2022-05-12
- Last updated
- 2024-10-16
- Certified
- 2024-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.