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

Revival Collaborative LLC

Organization Mental Health Counselor · NPI 1407515620

Revival Collaborative LLC is a Mental Health Counselor in Bentonville, Arkansas. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3700 Medical Center Pkwy
Bentonville, AR 72712-3222
Phone: (479) 721-2110
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1407515620
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Zach Hedges — Owner · (479) 721-2110
NPI enumeratedDecember 15, 2021
Last updated in NPPESDecember 15, 2021
Certification dateDecember 15, 2021
Mailing address3202 Sw Hazelnut Ave, Bentonville, AR 72713-3195

Other providers in Bentonville