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

Revive Health and Wellness, LLC

Organization Primary Care Clinic/Center · NPI 1255068425

Revive Health and Wellness, LLC is a Primary Care Clinic/Center in Ocean Springs, Mississippi. 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.

See every abbreviation used in this directory →

Practice location Address checks out

2112 Bienville Blvd Ste M1
Ocean Springs, MS 39564-3027
Phone: (228) 324-5347
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1255068425
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Traci White — Owner · (228) 324-5347
NPI enumeratedAugust 6, 2022
Last updated in NPPESAugust 6, 2022
Certification dateAugust 6, 2022
Mailing address17804 Riverwalk Drive, Vancleave, MS 39565