REVIVE WELLNESS LLC
NPI 1215780101
Counselor - Mental Health in Pekin, IL

Q: What is Revive Wellness LLC's NPI number?

The NPI number for Revive Wellness LLC is 1215780101. It was assigned to this organization in the NPPES registry on April 9, 2024. The provider is doing business as Revive Wellness.

Q: What is Revive Wellness LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since April 09, 2024

802 BACON ST, PEKIN, IL 61554(309) 219-5057 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 4, 2024, Apr 9, 2024 (2 updates tracked since 2024).

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About Revive Wellness Llc NPPES

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

REVIVE WELLNESS LLC (NPI 1215780101), doing business as Revive Wellness, is a healthcare organization registered as a mental health in Pekin, Illinois and active in the NPI registry since April 2024. The organization lists Haley B Robbins, Co/owner / Therapist, as its authorized official.

NPPES Registry Identity

NPI1215780101

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameREVIVE WELLNESS LLC

Location Address802 BACON STPekin, IL 61554-4534

Mailing Address802 Bacon StPekin, IL 61554-4534 · (309) 219-5057

Phone(309) 219-5057

Organization SubpartNo

Authorized OfficialHaley B RobbinsCo/owner / Therapist · (309) 219-5057

Enumeration DateApril 9, 2024

Last NPPES UpdateNovember 4, 20242 updates tracked since enumeration

NPPES CertifiedNovember 4, 2024

✔ NPI 1215780101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

802 BACON ST, Pekin, IL 61554

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Other Names 1

Doing Business AsRevive Wellness

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

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

HALEY BRIANA ROBBINS LCSW, PMH-C

Counselor (Mental Health)

802 BACON ST
PEKIN, IL 61554

Tazewell County (309) 863-5717

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 1215780101. It was assigned to this organization in the NPPES registry on April 9, 2024. The provider is doing business as Revive Wellness.

Where is Revive Wellness LLC located?

Revive Wellness LLC is located at 802 Bacon St, Pekin, IL 61554. The listed phone number is (309) 219-5057.

What is Revive Wellness LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Revive Wellness LLC was last updated on November 4, 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.