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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

REVIVAL WELLNESS GROUP LLC
NPI 1942117155
Social Worker - Clinical in Indianapolis, IN

Active since August 25, 2026
11216 FALL CREEK RD STE 102, INDIANAPOLIS, IN 46256(814) 282-5489 Get Directions Write a Review

NPPES record added: August 25, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Revival Wellness Group Llc NPPES

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

REVIVAL WELLNESS GROUP LLC (NPI 1942117155) is a healthcare organization registered as a clinical in Indianapolis, Indiana and active in the NPI registry since August 2026. The organization lists Kaylee Durnell, Owner, as its authorized official.

NPPES Registry Identity

NPI1942117155
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameREVIVAL WELLNESS GROUP LLC
Location Address11216 FALL CREEK RD STE 102Indianapolis, IN 46256-9406
Mailing Address7264 S Woodrow DrPendleton, IN 46064-9102 · (814) 282-5489
Phone(814) 282-5489
Organization SubpartNo
Authorized OfficialKaylee DurnellOwner · (814) 282-5489
Enumeration DateAugust 25, 2026
NPPES CertifiedAugust 25, 2026
✔ NPI 1942117155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
11216 FALL CREEK RD STE 102, Indianapolis, IN 46256
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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 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 Revival Wellness Group LLC's NPI number?

The NPI number for Revival Wellness Group LLC is 1942117155. It was assigned to this organization in the NPPES registry on August 25, 2026.

Where is Revival Wellness Group LLC located?

Revival Wellness Group LLC is located at 11216 Fall Creek Rd Ste 102, Indianapolis, IN 46256. The listed phone number is (814) 282-5489.

What is Revival Wellness Group LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Revival Wellness Group LLC was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.