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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

REVIVE WELLNESS CLINIC OF STARKVILLE, LLC
NPI 1558275008
Clinic/Center in Starkville, MS

Active since October 01, 2026
100 RUSSELL ST STE 19, STARKVILLE, MS 39759(662) 801-5795 Get Directions Write a Review

NPPES record added: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Revive Wellness Clinic Of Starkville, Llc NPPES

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

REVIVE WELLNESS CLINIC OF STARKVILLE, LLC (NPI 1558275008) is a healthcare organization registered as a clinic/center in Starkville, Mississippi and active in the NPI registry since October 2026. The organization lists Sarah Clark, Manager, as its authorized official.

NPPES Registry Identity

NPI1558275008
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameREVIVE WELLNESS CLINIC OF STARKVILLE, LLC
Location Address100 RUSSELL ST STE 19Starkville, MS 39759-3398
Mailing Address100 Russell St Ste 19Starkville, MS 39759-3398 · (662) 801-5795
Phone(662) 801-5795
Organization SubpartNo
Authorized OfficialSarah ClarkManager · (662) 801-5795
Enumeration DateOctober 1, 2026
NPPES CertifiedOctober 1, 2026
✔ NPI 1558275008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
100 RUSSELL ST STE 19, Starkville, MS 39759
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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 Clinic Of Starkville, LLC's NPI number?

The NPI number for Revive Wellness Clinic Of Starkville, LLC is 1558275008. It was assigned to this organization in the NPPES registry on October 1, 2026.

Where is Revive Wellness Clinic Of Starkville, LLC located?

Revive Wellness Clinic Of Starkville, LLC is located at 100 Russell St Ste 19, Starkville, MS 39759. The listed phone number is (662) 801-5795.

What is Revive Wellness Clinic Of Starkville, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Revive Wellness Clinic Of Starkville, LLC was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.