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

Orange County Revive Services, Inc

Organization Adolescent and Children Mental Health Clinic/Center · NPI 1508333477

Orange County Revive Services, Inc is an Adolescent and Children Mental Health Clinic/Center in Lake Forest, California. Registered with an NPI since 2018.

In the registry since
2018
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

24432 Muirlands Blvd Ste 221
Lake Forest, CA 92630-3951
Phone: (949) 510-3358
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X

Record details

NPI number1508333477
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tyler Michaelis — Ceo · (949) 606-4681
Other names Oc Revive; Oc Revive
NPI enumeratedOctober 30, 2018
Last updated in NPPESSeptember 30, 2019
Mailing address24432 Muirlands Blvd Ste 221, Lake Forest, CA 92630-3951

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