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

Revive Care Services Inc

Organization Mental Health Counselor · NPI 1306700513

Revive Care Services Inc is a Mental Health Counselor in Minneapolis, Minnesota. Registered with an NPI since 2025.

In the registry since
2025
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

2048 123rd Ln NW
Minneapolis, MN 55448-7087
Phone: (612) 503-9577
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1306700513
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationRevive Care Services Inc
Authorized official Warsame Warsame — Owner · (612) 503-9577
NPI enumeratedDecember 11, 2025
Last updated in NPPESDecember 11, 2025
Certification dateDecember 11, 2025
Mailing address2048 123rd Ln Nw, Minneapolis, MN 55448-7087

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