REVIVE WELLCO
NPI 1851070882
Counselor - Mental Health in Clarksville, TN

Q: What is Revive Wellco's NPI number?

The NPI number for Revive Wellco is 1851070882. It was assigned to this organization in the NPPES registry on July 17, 2023.

Q: What is Revive Wellco's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Revive Wellco was last updated on October 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since July 17, 2023

518 LATHAM CT., CLARKSVILLE, TN 37043(501) 318-3760 Get Directions Write a Review

NPPES record last updated: October 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Revive Wellco NPPES

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

REVIVE WELLCO (NPI 1851070882) is a healthcare organization registered as a mental health in Clarksville, Tennessee and active in the NPI registry since July 2023. The organization maintains a secondary practice location in Alexandria and lists Jennifer Schalow, Ceo, as its authorized official.

NPPES Registry Identity

NPI1851070882

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameREVIVE WELLCO

Location Address518 LATHAM CT.Clarksville, TN 37043

Mailing Address919 Tiny Town Rd, Suite B #2021Clarksville, TN 37042-7660 · (501) 318-3760

Phone(501) 318-3760

Organization SubpartNo

Authorized OfficialJennifer SchalowCeo · (501) 318-3760

Enumeration DateJuly 17, 2023

Last NPPES UpdateOctober 18, 2024

NPPES CertifiedOctober 8, 2024

✔ NPI 1851070882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

518 LATHAM CT., Clarksville, TN 37043

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Secondary Practice Location 1

Location 1110 N Royal St Ste 301Alexandria, VA 22314-3271 · Phone (501) 318-3760

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 Wellco's NPI number?

The NPI number for Revive Wellco is 1851070882. It was assigned to this organization in the NPPES registry on July 17, 2023.

Where is Revive Wellco located?

Revive Wellco is located at 518 Latham Ct., Clarksville, TN 37043. The listed phone number is (501) 318-3760.

What is Revive Wellco's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Revive Wellco was last updated on October 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.