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

Revive Mental Wellness LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1326756347

Revive Mental Wellness LLC is a Psychiatric/Mental Health Nurse Practitioner in Boise, Idaho. 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

200 N 23rd St Ste 106
Boise, ID 83702-4969
Phone: (208) 398-3351
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1326756347
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jynnah Schwartzwolf — Manager · (208) 922-8298
NPI enumeratedNovember 8, 2022
Last updated in NPPESNovember 18, 2025
Certification dateNovember 18, 2025
Mailing address1200 N Main St Unit 1623, Meridian, ID 83680-5065

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