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

Revive Behavioral Health Clinic

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1194559369

Revive Behavioral Health Clinic is a Psychiatric/Mental Health Nurse Practitioner in Bartlett, Tennessee. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

5820 Stage Rd
Bartlett, TN 38134-4518
Phone: (901) 317-7900
Fax: (901) 317-7899
Show map & directions

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 number1194559369
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ginger Williams — Manager/Practitioner · (901) 317-7900
NPI enumeratedAugust 29, 2024
Last updated in NPPESNovember 8, 2024
Certification dateOctober 17, 2024
Mailing address5820 Stage Rd, Bartlett, TN 38134-4518

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