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

Revitalize Mental Health & Integrative Medicine LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1306652607

Revitalize Mental Health & Integrative Medicine LLC is a Psychiatric/Mental Health Nurse Practitioner in Trinity, Florida. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8225 State Road 54
Trinity, FL 34655-3016
Phone: (727) 242-8800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1306652607
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Thomas — Owner · (734) 558-3401
NPI enumeratedDecember 10, 2024
Last updated in NPPESDecember 10, 2024
Certification dateDecember 10, 2024
Mailing address1504 Ohio Ave, Dunedin, FL 34698-4514

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