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

Revive Recovery LLC

Organization Clinic/Center · NPI 1215522263

Revive Recovery LLC is a Clinic/Center in Bonita Springs, Florida. Registered with an NPI since 2021.

In the registry since
2021
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

3541 Bonita Bay Blvd Ste 200
Bonita Springs, FL 34134-1703
Phone: (239) 908-9958
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X
Infusion Therapy Clinic/Center Taxonomy 261QI0500X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X

Record details

NPI number1215522263
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christina Thomas — Owner · (239) 908-9958
Other names My Self Wellness
NPI enumeratedMarch 2, 2021
Last updated in NPPESMarch 2, 2021
Certification dateMarch 2, 2021
Mailing address3541 Bonita Bay Blvd Ste 200, Bonita Springs, FL 34134-1703

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