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

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: July 19, 2026.

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


The following 2 providers are registered at the same or a nearby location.

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

What is REVIVE BEHAVIORAL HEALTH CLINIC's NPI number?

The NPI number assigned to this healthcare provider is 1194559369, enumerated as an "organization" on August 29, 2024.

Where is the provider located?

The provider is located at 5820 STAGE RD BARTLETT, TN 38134 and the phone number is (901) 317-7900.

What is the provider's specialty?

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.