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REVIVE WELLNESS & CO
NPI 1194502070
Clinic/Center - Mental Health (Including Community Mental Health Center) in Grand Prairie, TX

Active since September 13, 2023
5335 NUECES LN, GRAND PRAIRIE, TX 75052(972) 802-4892 Get Directions Write a Review

NPPES record last updated: September 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Revive Wellness & Co NPPES

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

REVIVE WELLNESS & CO (NPI 1194502070) is a healthcare organization registered as a mental health (including community mental health center) in Grand Prairie, Texas and active in the NPI registry since September 2023. The organization lists Samitriya L Moore, Founder, as its authorized official.

NPPES Registry Identity

NPI1194502070
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameREVIVE WELLNESS & CO
Location Address5335 NUECES LNGrand Prairie, TX 75052-2667
Mailing Address5335 Nueces LnGrand Prairie, TX 75052-2667 · (972) 802-4892
Phone(972) 802-4892
Organization SubpartNo
Authorized OfficialSamitriya L MooreFounder · (972) 802-4892
Enumeration DateSeptember 13, 2023
NPPES CertifiedSeptember 13, 2023
✔ NPI 1194502070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
5335 NUECES LN, Grand Prairie, TX 75052
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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 Wellness & Co's NPI number?

The NPI number for Revive Wellness & Co is 1194502070. It was assigned to this organization in the NPPES registry on September 13, 2023.

Where is Revive Wellness & Co located?

Revive Wellness & Co is located at 5335 Nueces Ln, Grand Prairie, TX 75052. The listed phone number is (972) 802-4892.

What is Revive Wellness & Co's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Revive Wellness & Co was last updated on September 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.