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REVIVE WELLNESS, LLC
NPI 1205583630
Nurse Practitioner - Psychiatric/Mental Health in Mamou, LA

Active since March 05, 2022
704 POINCIANA AVE, MAMOU, LA 70554(337) 468-4038 Get Directions Write a Review

NPPES record last updated: March 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Revive Wellness, Llc NPPES

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

REVIVE WELLNESS, LLC (NPI 1205583630) is a healthcare organization registered as a psychiatric/mental health in Mamou, Louisiana and active in the NPI registry since March 2022. The organization lists Rachel Taylor, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1205583630
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameREVIVE WELLNESS, LLC
Location Address704 POINCIANA AVEMamou, LA 70554-2224
Mailing AddressPo Box 821Carencro, LA 70520-0821
Phone(337) 468-4038
Organization SubpartNo
Authorized OfficialRachel TaylorOwner/manager · (985) 351-1673
Enumeration DateMarch 5, 2022
NPPES CertifiedMarch 5, 2022
✔ NPI 1205583630 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
704 POINCIANA AVE, Mamou, LA 70554
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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 6

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

SAVOY MEDICAL MANAGEMENT GROUP, INC
Clinic/Center (Rural Health)
704 POINCIANA AVE
MAMOU, LA 70554
Evangeline Parish (337) 468-4038
CHRISTOPHER CUTTER MD INC A PROFESSIONAL MEDICAL CORPORTATION
Family Medicine
704 POINCIANA AVE, SUITE C
MAMOU, LA 70554
Evangeline Parish (337) 468-4038
MRS. MARY AMELIA DUNCAN APRN, FNP-BC
Nurse Practitioner (Family)
704 POINCIANA AVE, SUITE C
MAMOU, LA 70554
Evangeline Parish (337) 468-4038
THRIFTY WAY PHARMACY OF MAMOU LLC
Pharmacy (Community/Retail Pharmacy)
704 POINCIANA AVE
MAMOU, LA 70554
Evangeline Parish (337) 468-7111
ALAINA COREIL APRN-PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
704 POINCIANA AVE
MAMOU, LA 70554
Evangeline Parish (337) 468-4038
THRIFTY WAY PHARMACY OF MAMOU LLC
Pharmacy (Community/Retail Pharmacy)
704 POINCIANA AVE, SUITE A
MAMOU, LA 70554
Evangeline Parish (337) 468-7111

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, LLC's NPI number?

The NPI number for Revive Wellness, LLC is 1205583630. It was assigned to this organization in the NPPES registry on March 5, 2022.

Where is Revive Wellness, LLC located?

Revive Wellness, LLC is located at 704 Poinciana Ave, Mamou, LA 70554. The listed phone number is (337) 468-4038.

What is Revive Wellness, 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 Revive Wellness, LLC was last updated on March 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.