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

Revive Integrated Care Services LLC

Organization Community/Behavioral Health Agency · NPI 1164132908

Revive Integrated Care Services LLC is a Community/Behavioral Health Agency in Phoenix, Arizona. 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

1616 E Indian School Rd Ste 400
Phoenix, AZ 85016-8604
Phone: (602) 688-6327
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1164132908
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tamala Daniels — Ceo · (602) 688-6327
NPI enumeratedDecember 2, 2022
Last updated in NPPESJuly 7, 2025
Certification dateJuly 7, 2025
Mailing address1616 E Indian School Rd Ste 400, Phoenix, AZ 85016-8604

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