Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
REVIVE CLINIC LLC
Active OrganizationREVIVE CLINIC LLC is a Psychiatric/Mental Health, Community CNS organization located in COLUMBIA, Maryland. NPI 1003797176 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health, Community CNS · COLUMBIA, MD
Registration Details
- NPI Number
- 1003797176
- Provider Type
- Organization
- NPI Issued
- Sep 8, 2025 (0.97447395359272 yrs)
- Last Updated
- Feb 2, 2026
Practice Information
- Address
-
10101 TWIN RIVERS ROAD APT 401COLUMBIA, MD, 21044Browse MD providers · Browse ZIP 21044
- Phone
- 4433284810
- Fax
- 2692102598
- Primary Specialty
-
Psychiatric/Mental Health, Community CNS
364SP0808X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.