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

Revival Psychiatry

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1073285987

Revival Psychiatry is a Psychiatric/Mental Health Nurse Practitioner in Athens, Alabama. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

15884 E Limestone Rd
Athens, AL 35613-7522
Phone: (256) 431-6469
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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 number1073285987
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacob Scott — Owner · (256) 431-6469
NPI enumeratedSeptember 29, 2021
Last updated in NPPESSeptember 29, 2021
Certification dateSeptember 29, 2021
Mailing address15884 E Limestone Rd, Athens, AL 35613-7522

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