REVIVD RECOVERY AND WELLNESS FORT WAYNE LLC
NPI 1699617860
Clinic/Center - Mental Health (Including Community Mental Health Center) in Fort Wayne, IN
About Revivd Recovery And Wellness Fort Wayne Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REVIVD RECOVERY AND WELLNESS FORT WAYNE LLC (NPI 1699617860) is a healthcare organization registered as a mental health (including community mental health center) in Fort Wayne, Indiana and active in the NPI registry since April 2026. The organization lists Ashley Brown, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Revivd Recovery And Wellness Fort Wayne LLC's NPI number?
The NPI number for Revivd Recovery And Wellness Fort Wayne LLC is 1699617860. It was assigned to this organization in the NPPES registry on April 7, 2026.
Where is Revivd Recovery And Wellness Fort Wayne LLC located?
Revivd Recovery And Wellness Fort Wayne LLC is located at 402 E Main St, Fort Wayne, IN 46802. The listed phone number is (260) 298-8297.
What is Revivd Recovery And Wellness Fort Wayne 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.
When was this NPI record last updated?
The NPPES record for Revivd Recovery And Wellness Fort Wayne LLC was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
