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

Revive Ministries Inc

Organization Addiction (Substance Use Disorder) Counselor · NPI 1063909067

Revive Ministries Inc is an Addiction (Substance Use Disorder) Counselor in Nicholasville, Kentucky. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

111 Coconut Grove Dr
Nicholasville, KY 40356-2321
Phone: (859) 881-4505
Fax: (859) 241-1483
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X
Substance Abuse Rehabilitation Facility Taxonomy 324500000X

Record details

NPI number1063909067
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Todd Johns — Ceo · (859) 354-9841
NPI enumeratedApril 16, 2018
Last updated in NPPESNovember 23, 2022
Certification dateNovember 23, 2022
Mailing address800 S Main Street, Suite C, Nicholasville, KY 40356-1868

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