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

Revive Recovery Center LLC

Organization Adult Mental Health Clinic/Center · NPI 1851007272

Revive Recovery Center LLC is an Adult Mental Health Clinic/Center in Mesa, Arizona. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
4
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

127 W Juanita Ave Ste 110
Mesa, AZ 85210-6114
Phone: (424) 212-9052
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X

Record details

NPI number1851007272
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brayden Younghusband — Ceo · (000) 000-0000
NPI enumeratedJanuary 30, 2023
Last updated in NPPESApril 23, 2023
Certification dateApril 23, 2023
Mailing address127 W Juanita Ave Ste 110, Mesa, AZ 85210-6114

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