REVIVE HEALTH AND WELLNESS, LLC
NPI 1255068425
Clinic/Center - Primary Care in Ocean Springs, MS

Active since August 06, 2022
2112 BIENVILLE BLVD STE M1, OCEAN SPRINGS, MS 39564(228) 324-5347 Get Directions Write a Review

NPPES record last updated: August 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Revive Health And Wellness, Llc NPPES

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

REVIVE HEALTH AND WELLNESS, LLC (NPI 1255068425) is a healthcare organization registered as a primary care in Ocean Springs, Mississippi and active in the NPI registry since August 2022. The organization lists Traci J White, Owner, as its authorized official.

NPPES Registry Identity

NPI1255068425
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameREVIVE HEALTH AND WELLNESS, LLC
Location Address2112 BIENVILLE BLVD STE M1Ocean Springs, MS 39564-3027
Mailing Address17804 Riverwalk DriveVancleave, MS 39565 · (228) 324-5347
Organization SubpartNo
Authorized OfficialTraci J WhiteOwner · (228) 324-5347
Enumeration DateAugust 6, 2022
NPPES CertifiedAugust 6, 2022
NPI 1255068425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
2112 BIENVILLE BLVD STE M1, Ocean Springs, MS 39564

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.

Social Worker (Clinical)
2112 BIENVILLE BLVD STE M1
OCEAN SPRINGS, MS 39564
Counselor (Mental Health)
2112 BIENVILLE BLVD STE M1
OCEAN SPRINGS, MS 39564

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 Health And Wellness, LLC's NPI number?

The NPI number for Revive Health And Wellness, LLC is 1255068425. It was assigned to this organization in the NPPES registry on August 6, 2022.

Where is Revive Health And Wellness, LLC located?

Revive Health And Wellness, LLC is located at 2112 Bienville Blvd Ste M1, Ocean Springs, MS 39564. The listed phone number is (228) 324-5347.

What is Revive Health And Wellness, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Revive Health And Wellness, LLC was last updated on August 6, 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.