REVIVE ATHLETICS, INC
NPI 1669855177
Community/Behavioral Health in New Orleans, LA

Active since July 01, 2015
201 ST. CHARLES AVE., STE. 2500, NEW ORLEANS, LA 70170(504) 754-6904(800) 675-4619 Get Directions Write a Review

NPPES record last updated: July 1, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Revive Athletics, Inc NPPES

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

REVIVE ATHLETICS, INC (NPI 1669855177) is a healthcare organization registered as a community/behavioral health in New Orleans, Louisiana and active in the NPI registry since July 2015. The organization lists Matthew Harrell, Owner, as its authorized official.

NPPES Registry Identity

NPI1669855177
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameREVIVE ATHLETICS, INC
Location Address201 ST. CHARLES AVE., STE. 2500New Orleans, LA 70170-2500
Mailing Address201 St. Charles Ave., Ste. 2500New Orleans, LA 70170-2500 · (504) 754-6904 · Fax (800) 675-4619
Fax(800) 675-4619
Organization SubpartNo
Authorized OfficialMatthew HarrellOwner · (678) 308-5520
Enumeration DateJuly 1, 2015
NPI 1669855177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

201 ST. CHARLES AVE., New Orleans, LA 70170

Other Providers at the Same Location NPPES

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

Behavior Technician
201 ST. CHARLES AVE., STE 2500
NEW ORLEANS, LA 70170

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669855177, enumerated as an "organization" on July 01, 2015.

The provider is located at 201 ST. CHARLES AVE. STE. 2500 NEW ORLEANS, LA 70170 and the phone number is (504) 754-6904.

Community/Behavioral Health with taxonomy code 251S00000X.