REVIVE HEALTH CLINICS, PLLC
NPI 1780253500
Counselor - Professional in Phoenix, AZ

Active since June 24, 2021
1277 E MISSOURI AVE STE 101, PHOENIX, AZ 85014(602) 296-4106(602) 296-4146 Get Directions Write a Review

NPPES record last updated: June 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Revive Health Clinics, Pllc NPPES

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

REVIVE HEALTH CLINICS, PLLC (NPI 1780253500) is a healthcare organization registered as a professional in Phoenix, Arizona and active in the NPI registry since June 2021. The organization maintains a secondary practice location in Surprise and lists Joshua F Bock, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1780253500
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameREVIVE HEALTH CLINICS, PLLC
Location Address1277 E MISSOURI AVE STE 101Phoenix, AZ 85014-2916
Mailing Address1839 S Alma School Rd Ste 354Mesa, AZ 85210-3028 · (480) 726-2287
Fax(602) 296-4146
Organization SubpartNo
Authorized OfficialJoshua F BockManaging Member · (480) 726-2287
Enumeration DateJune 24, 2021
NPPES CertifiedJune 24, 2021
NPI 1780253500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedSocial WorkerTaxonomy 104100000X
1277 E MISSOURI AVE STE 101, Phoenix, AZ 85014

Secondary Practice Location 1

Location 114239 W Bell Rd Ste 108Surprise, AZ 85374-2470 · Phone (602) 296-4106 · Fax (602) 296-4146

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

Physician Assistant (Medical)
1277 E MISSOURI AVE STE 101
PHOENIX, AZ 85014
Physician Assistant (Medical)
1277 E MISSOURI AVE STE 101
PHOENIX, AZ 85014

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 Clinics, PLLC's NPI number?

The NPI number for Revive Health Clinics, PLLC is 1780253500. It was assigned to this organization in the NPPES registry on June 24, 2021.

Where is Revive Health Clinics, PLLC located?

Revive Health Clinics, PLLC is located at 1277 E Missouri Ave Ste 101, Phoenix, AZ 85014. The listed phone number is (602) 296-4106.

What is Revive Health Clinics, PLLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Revive Health Clinics, PLLC was last updated on June 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.