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REVIVE WELLNESS CENTER
NPI 1205675238
Counselor - Professional in Wilmington, NC

Active since May 20, 2024
226 N FRONT ST # 118, WILMINGTON, NC 28401(910) 518-9837 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Revive Wellness Center NPPES

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

REVIVE WELLNESS CENTER (NPI 1205675238) is a healthcare organization registered as a professional in Wilmington, North Carolina and active in the NPI registry since May 2024. The organization lists Breeana Kennedy, Clinical Counselor, as its authorized official.

NPPES Registry Identity

NPI1205675238
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameREVIVE WELLNESS CENTER
Location Address226 N FRONT ST # 118Wilmington, NC 28401-3920
Mailing Address103 Arabian CirBeulaville, NC 28518-6791 · (910) 271-0415
Phone(910) 518-9837
Organization SubpartNo
Authorized OfficialBreeana KennedyClinical Counselor · (910) 271-0415
Enumeration DateMay 20, 2024
NPPES CertifiedMay 20, 2024
✔ NPI 1205675238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
226 N FRONT ST # 118, Wilmington, NC 28401
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

KATHRYN MILLER LCMHC
Counselor (Mental Health)
226 N FRONT ST # 118
WILMINGTON, NC 28401
New Hanover County (910) 581-9837
BREEANA CAIN KENNEDY LCMHC
Counselor (Mental Health)
226 N FRONT ST # 118
WILMINGTON, NC 28401
New Hanover County (910) 518-9837
STACEY BAKER LCMHC
Counselor (Mental Health)
226 N FRONT ST # 118
WILMINGTON, NC 28401
New Hanover County (910) 581-9837

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 Center's NPI number?

The NPI number for Revive Wellness Center is 1205675238. It was assigned to this organization in the NPPES registry on May 20, 2024.

Where is Revive Wellness Center located?

Revive Wellness Center is located at 226 N Front St # 118, Wilmington, NC 28401. The listed phone number is (910) 518-9837.

What is Revive Wellness Center's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Revive Wellness Center was last updated on May 20, 2024. 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.