REVIVAL PSYCHIATRY AND WELLNESS SERVICES, LLC
NPI 1033085535
Nurse Practitioner - Psychiatric/Mental Health in Finksburg, MD

Active since October 13, 2025
2059 BALTIMORE BLVD STE B, FINKSBURG, MD 21048(443) 410-6131(410) 941-2766 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 15, 2026, Nov 21, 2025 (2 updates tracked since 2025).

About Revival Psychiatry And Wellness Services, Llc NPPES

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

REVIVAL PSYCHIATRY AND WELLNESS SERVICES, LLC (NPI 1033085535) is a healthcare organization registered as a psychiatric/mental health in Finksburg, Maryland and active in the NPI registry since October 2025. The organization lists Maria N Mbeboh, Owner, as its authorized official.

NPPES Registry Identity

NPI1033085535
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameREVIVAL PSYCHIATRY AND WELLNESS SERVICES, LLC
Location Address2059 BALTIMORE BLVD STE BFinksburg, MD 21048-1301
Mailing Address2059 Baltimore Blvd Ste BFinksburg, MD 21048-1301 · (443) 410-6131 · Fax (410) 941-2766
Fax(410) 941-2766
Organization SubpartNo
Authorized OfficialMaria N MbebohOwner · (443) 410-6131
Enumeration DateOctober 13, 2025
Last NPPES UpdateJanuary 15, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2026
NPI 1033085535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
2059 BALTIMORE BLVD STE B, Finksburg, MD 21048

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

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 Revival Psychiatry And Wellness Services, LLC's NPI number?

The NPI number for Revival Psychiatry And Wellness Services, LLC is 1033085535. It was assigned to this organization in the NPPES registry on October 13, 2025.

Where is Revival Psychiatry And Wellness Services, LLC located?

Revival Psychiatry And Wellness Services, LLC is located at 2059 Baltimore Blvd Ste B, Finksburg, MD 21048. The listed phone number is (443) 410-6131.

What is Revival Psychiatry And Wellness Services, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Revival Psychiatry And Wellness Services, LLC was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.