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

Revive Healing & Wellness Institute, LLC

Organization Mental Health Counselor · NPI 1699342832

Revive Healing & Wellness Institute, LLC is a Mental Health Counselor in Atlanta, Georgia. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3
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

970 Sidney Marcus Blvd NE Unit 1412
Atlanta, GA 30324-3160
Phone: (404) 500-9494
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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
Professional Counselor Taxonomy 101YP2500X
Marriage & Family Therapist Taxonomy 106H00000X

Record details

NPI number1699342832
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melissa Bauman — Partner · (509) 985-8788
Other names Revive Healing & Wellness Institute, Llc.
NPI enumeratedJune 7, 2021
Last updated in NPPESJune 7, 2021
Certification dateJune 7, 2021
Mailing address970 Sidney Marcus Blvd Ne Unit 1412, Atlanta, GA 30324-3160

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