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REVIVE CLINIC LLC
NPI 1003797176
Clinical Nurse Specialist - Psychiatric/Mental Health in Columbia, MD

Active since September 08, 2025
10440 LITTLE PATUXENT PKWY STE 300, COLUMBIA, MD 21044(240) 744-0540(866) 538-1415 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 12, 2026, Mar 18, 2026, Feb 2, 2026 and 2 more (5 updates tracked since 2025).

About Revive Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REVIVE CLINIC LLC (NPI 1003797176) is a healthcare organization registered as a psychiatric/mental health in Columbia, Maryland and active in the NPI registry since September 2025. The organization lists Denisha Cuffee, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1003797176
Entity TypeOrganization
Primary Taxonomy364SP0808X
Legal Business NameREVIVE CLINIC LLC
Location Address10440 LITTLE PATUXENT PKWY STE 300Columbia, MD 21044-3648
Mailing Address10440 Little Patuxent Pkwy Ste 300Columbia, MD 21044-3648 · (240) 744-0540 · Fax (866) 538-1415
Phone(240) 744-0540
Fax(866) 538-1415
Organization SubpartNo
Authorized OfficialDenisha CuffeeOwner/provider · (240) 744-0540
Enumeration DateSeptember 8, 2025
Last NPPES UpdateMay 12, 20265 updates tracked since enumeration
NPPES CertifiedMay 12, 2026
✔ NPI 1003797176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SP0808X
10440 LITTLE PATUXENT PKWY STE 300, Columbia, MD 21044
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH KATKHOUDA FNP-C
Nurse Practitioner (Family)
10440 LITTLE PATUXENT PKWY STE 300
COLUMBIA, MD 21044
Howard County (888) 731-8994
MS. LAWANIS M PHILLIPS NP
Nurse Practitioner (Primary Care)
10440 LITTLE PATUXENT PKWY STE 300
COLUMBIA, MD 21044
Howard County (888) 731-8994
JESSE OKONIGBO NP
Nurse Practitioner (Family)
10440 LITTLE PATUXENT PKWY STE 300
COLUMBIA, MD 21044
Howard County (240) 702-3574
GABRIELLE ELIZABETH SETTAR
Behavior Analyst
10440 LITTLE PATUXENT PKWY STE 300
COLUMBIA, MD 21044
Howard County (443) 656-9050
POLARIS WELLNESS LLC
Social Worker
10440 LITTLE PATUXENT PKWY STE 300
COLUMBIA, MD 21044
Howard County (302) 409-1585
FARZANA AHMED
Behavior Technician
10440 LITTLE PATUXENT PKWY STE 300
COLUMBIA, MD 21044
Howard County (443) 656-9050
MEGAN KUMINSKI LMHC
Counselor (Mental Health)
10440 LITTLE PATUXENT PKWY STE 300
COLUMBIA, MD 21044
Howard County (410) 929-3565
JASMINE PARKER
Behavior Technician
10440 LITTLE PATUXENT PKWY STE 300
COLUMBIA, MD 21044
Howard County (443) 656-9050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Revive Clinic LLC's NPI number?

The NPI number for Revive Clinic LLC is 1003797176. It was assigned to this organization in the NPPES registry on September 8, 2025.

Where is Revive Clinic LLC located?

Revive Clinic LLC is located at 10440 Little Patuxent Pkwy Ste 300, Columbia, MD 21044. The listed phone number is (240) 744-0540.

What is Revive Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, with taxonomy code 364SP0808X.

When was this NPI record last updated?

The NPPES record for Revive Clinic LLC was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.