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

Revive Counseling and Coaching LLC

Organization Clinical Social Worker · NPI 1437871845

Revive Counseling and Coaching LLC is a Clinical Social Worker in Niceville, Florida. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1016 John Sims Pkwy E Ste B
Niceville, FL 32578-2202
Phone: (989) 715-4404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1437871845
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ruby Hawkins-Jack — Licensed Clinical Social Worker · (989) 715-4404
NPI enumeratedSeptember 13, 2022
Last updated in NPPESSeptember 13, 2022
Certification dateSeptember 13, 2022
Mailing address224 Hillside Dr, Niceville, FL 32578-2354

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