Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Revival Recovery LLC

Organization Substance Use Disorder Rehabilitation Clinic/Center · NPI 1811801632

Revival Recovery LLC provides Substance Use Disorder Rehabilitation Clinic/Center services in Saint Paul, Minnesota. Registered with an NPI since 2026.

In the registry since
2026
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 →

Practice location Address checks out

957 W 7th St
Saint Paul, MN 55102-3501
Phone: (952) 239-6790
Show map & directions

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

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X

Record details

NPI number1811801632
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lawrence Tan — Cfo · (952) 239-6790
NPI enumeratedSeptember 29, 2026
Last updated in NPPESSeptember 29, 2026
Certification dateSeptember 29, 2026
Mailing address957 W 7th St, Saint Paul, MN 55102-3501

Other providers in Saint Paul