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REVIVE WELLNESS
NPI 1912443094
Community/Behavioral Health in Conshohocken, PA

Active since January 12, 2017
119 HARRY ST, FIRST FLOOR, CONSHOHOCKEN, PA 19428(610) 457-8542 Get Directions Write a Review

NPPES record last updated: May 4, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 19, 2017, Jan 12, 2017 (2 updates tracked since 2017).

About Revive Wellness NPPES

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

REVIVE WELLNESS (NPI 1912443094) is a healthcare organization registered as a community/behavioral health in Conshohocken, Pennsylvania and active in the NPI registry since January 2017. The organization lists Leiza Stanley, Owner, as its authorized official.

NPPES Registry Identity

NPI1912443094
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameREVIVE WELLNESS
Location Address119 HARRY ST, FIRST FLOORConshohocken, PA 19428
Mailing Address119 Harry StreetConshohocken, PA 19428
Phone(610) 457-8542
Organization SubpartNo
Authorized OfficialLeiza StanleyOwner · (640) 457-8542
Enumeration DateJanuary 12, 2017
Last NPPES UpdateMay 4, 20172 updates tracked since enumeration
✔ NPI 1912443094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in PA · CW016642
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.
119 HARRY ST, Conshohocken, PA 19428
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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.

MENTAL BALANCE- COGNITIVE BEHAVIORAL THERAPY
Community/Behavioral Health
119 HARRY ST, FIRST FLOOR
CONSHOHOCKEN, PA 19428
Montgomery County (610) 529-0936
ABIGAIL CLARK M.ED., M.PHIL.ED.
Counselor (Mental Health)
119 HARRY ST
CONSHOHOCKEN, PA 19428
Montgomery County (484) 424-9572

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 Wellness's NPI number?

The NPI number for Revive Wellness is 1912443094. It was assigned to this organization in the NPPES registry on January 12, 2017.

Where is Revive Wellness located?

Revive Wellness is located at 119 Harry St First Floor, Conshohocken, PA 19428. The listed phone number is (610) 457-8542.

What is Revive Wellness's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Revive Wellness was last updated on May 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.