REVIVE INTEGRATED CARE SERVICES LLC
NPI 1164132908
Community/Behavioral Health in Phoenix, AZ

Active since December 02, 2022
1616 E INDIAN SCHOOL RD STE 400, PHOENIX, AZ 85016(602) 688-6327 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 7, 2025, Jun 25, 2025, Apr 29, 2024 and 2 more (5 updates tracked since 2022).

About Revive Integrated Care Services Llc NPPES

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

REVIVE INTEGRATED CARE SERVICES LLC (NPI 1164132908) is a healthcare organization registered as a community/behavioral health in Phoenix, Arizona and active in the NPI registry since December 2022. The organization lists Tamala Lashawn Daniels, Ceo, as its authorized official.

NPPES Registry Identity

NPI1164132908
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameREVIVE INTEGRATED CARE SERVICES LLC
Location Address1616 E INDIAN SCHOOL RD STE 400Phoenix, AZ 85016-8604
Mailing Address1616 E Indian School Rd Ste 400Phoenix, AZ 85016-8604 · (602) 688-6327 · Fax (602) 801-3320
Organization SubpartNo
Authorized OfficialTamala Lashawn DanielsCeo · (602) 688-6327
Enumeration DateDecember 2, 2022
Last NPPES UpdateJuly 7, 20255 updates tracked since enumeration
NPPES CertifiedJuly 7, 2025
NPI 1164132908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

1616 E INDIAN SCHOOL RD STE 400, Phoenix, AZ 85016

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164132908, enumerated as an "organization" on December 02, 2022.

The provider is located at 1616 E INDIAN SCHOOL RD STE 400 PHOENIX, AZ 85016 and the phone number is (602) 688-6327.

Community/Behavioral Health with taxonomy code 251S00000X.