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

Revive Athletics, Inc

Organization Mental Health Counselor · NPI 1487964193

Revive Athletics, Inc is a Mental Health Counselor in Smyrna, Georgia. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

460 Bourne Dr
Smyrna, GA 30082
Phone: (770) 899-8187
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1487964193
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Harrell — Executive Director · (770) 899-8187
NPI enumeratedOctober 15, 2010
Last updated in NPPESOctober 15, 2010
Mailing address2916 Lonesome Pine Lane, Atlanta, GA 30339-4114

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