REVIVE BEHAVIORAL HEALTH CLINIC
NPI 1194559369
Nurse Practitioner - Psychiatric/Mental Health in Bartlett, TN

Q: What is Revive Behavioral Health Clinic's NPI number?

The NPI number for Revive Behavioral Health Clinic is 1194559369. It was assigned to this organization in the NPPES registry on August 29, 2024.

Q: What is Revive Behavioral Health Clinic's specialty?

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

Active since August 29, 2024

5820 STAGE RD, BARTLETT, TN 38134(901) 317-7900(901) 317-7899 Get Directions Write a Review

NPPES record last updated: November 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Revive Behavioral Health Clinic NPPES

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

REVIVE BEHAVIORAL HEALTH CLINIC (NPI 1194559369) is a healthcare organization registered as a psychiatric/mental health in Bartlett, Tennessee and active in the NPI registry since August 2024. The organization lists Ginger Marie Williams, Manager/practitioner, as its authorized official.

NPPES Registry Identity

NPI1194559369

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameREVIVE BEHAVIORAL HEALTH CLINIC

Location Address5820 STAGE RDBartlett, TN 38134-4518

Mailing Address5820 Stage RdBartlett, TN 38134-4518 · (901) 317-7900 · Fax (901) 317-7899

Phone(901) 317-7900

Fax(901) 317-7899

Organization SubpartNo

Authorized OfficialGinger Marie WilliamsManager/practitioner · (901) 317-7900

Enumeration DateAugust 29, 2024

Last NPPES UpdateNovember 8, 2024

NPPES CertifiedOctober 17, 2024

✔ NPI 1194559369 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

5820 STAGE RD, Bartlett, TN 38134

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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 2

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

REVIVE KETAMINE CLINIC, PLLC

Clinic/Center (Medical Specialty)

5820 STAGE RD
BARTLETT, TN 38134

Shelby County (901) 317-7900

DR. GINGER MARIE WILLIAMS CRNA, PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

5820 STAGE RD
BARTLETT, TN 38134

Shelby County (901) 317-7900

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 Behavioral Health Clinic's NPI number?

The NPI number for Revive Behavioral Health Clinic is 1194559369. It was assigned to this organization in the NPPES registry on August 29, 2024.

Where is Revive Behavioral Health Clinic located?

Revive Behavioral Health Clinic is located at 5820 Stage Rd, Bartlett, TN 38134. The listed phone number is (901) 317-7900.

What is Revive Behavioral Health Clinic'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 Revive Behavioral Health Clinic was last updated on November 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.