Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Orange County Revive Services, Inc

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1306543962

Orange County Revive Services, Inc is a Mental Health Clinic/Center (Including Community Mental Health Center) in Lake Forest, California. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

23726 Birtcher Dr
Lake Forest, CA 92630-1771
Phone: (949) 606-4681
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X
Mental Illness Community Based Residential Treatment Facility Taxonomy 320800000X

Record details

NPI number1306543962
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationOrange County Revive Services, Inc
Authorized official Tyler Michaelis — Ceo · (949) 606-4681
NPI enumeratedFebruary 14, 2023
Last updated in NPPESFebruary 14, 2023
Certification dateFebruary 14, 2023
Mailing address23726 Birtcher Dr, Lake Forest, CA 92630-1771

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