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

Revealed PLLC

Organization Counselor · NPI 1184310732

Revealed PLLC is a Counselor in Phoenix, Arizona. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
10
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2309 W Long Shadow Trl
Phoenix, AZ 85085-6084
Phone: (907) 590-5015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X
Counselor Taxonomy 101Y00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X
Social Worker Taxonomy 104100000X
Clinical Social Worker Taxonomy 1041C0700X
Nutritionist Taxonomy 133N00000X
Nutrition Education Nutritionist Taxonomy 133NN1002X
Obesity and Weight Management Nutrition Registered Dietitian Taxonomy 133VN1201X
Sports Dietetics Nutrition Registered Dietitian Taxonomy 133VN1501X

Record details

NPI number1184310732
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melodie Simmons — Ceo/Founder · (907) 590-5015
Other names Revealed
NPI enumeratedApril 17, 2023
Last updated in NPPESApril 17, 2023
Certification dateApril 16, 2023
Mailing address2309 W Long Shadow Trl, Phoenix, AZ 85085-6084

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