Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

REVELARE RECOVERY LLC
NPI 1629853189
Clinic/Center - Mental Health (Including Community Mental Health Center) in Atlanta, GA

Active since August 31, 2023CLIA 11D2291771 · Waiver
750 GLENWOOD AVE SE BLDG 200, STE 210, ATLANTA, GA 30316(888) 341-0244 Get Directions Write a Review

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

Record update history: Aug 4, 2026, Aug 31, 2023 (2 updates tracked since 2023).

About Revelare Recovery Llc NPPES

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

REVELARE RECOVERY LLC (NPI 1629853189) is a healthcare organization registered as a mental health (including community mental health center) in Atlanta, Georgia and active in the NPI registry since August 2023. The organization holds a CLIA Waiver certificate valid through October 15, 2027 and lists Arianna Paige Carbino, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1629853189
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameREVELARE RECOVERY LLC
Location Address750 GLENWOOD AVE SE BLDG 200, STE 210Atlanta, GA 30316-2195
Mailing Address750 Glenwood Ave Se Bldg 200, Ste 210Atlanta, GA 30316-2195
Organization SubpartNo
Authorized OfficialArianna Paige CarbinoExecutive Director · (404) 905-7786
Enumeration DateAugust 31, 2023
Last NPPES UpdateAugust 4, 20262 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
NPI 1629853189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
750 GLENWOOD AVE SE BLDG 200, Atlanta, GA 30316

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2291771

Revelare Recovery, LLC · Atlanta, GA
Active · expires Oct 15, 2027
CLIA Number11D2291771
Laboratory TypeIndependent
Certificate Effective DateOctober 16, 2025
Certificate Expiration DateOctober 15, 2027
Laboratory DirectorDr. Brady Schroer
Laboratory Phone(678) 920-9431
Laboratory LocationRevelare Recovery, LLC750 Glenwood Avenue, SE, Bldg 200, Suite 210, Atlanta, GA 30316
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Revelare Recovery LLC's NPI number?

The NPI number for Revelare Recovery LLC is 1629853189. It was assigned to this organization in the NPPES registry on August 31, 2023.

Where is Revelare Recovery LLC located?

Revelare Recovery LLC is located at 750 Glenwood Ave SE Bldg 200 Ste 210, Atlanta, GA 30316. The listed phone number is (888) 341-0244.

What is Revelare Recovery LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Does Revelare Recovery LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2291771) is associated with this NPI, valid through October 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Revelare Recovery LLC was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.