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

Revive Therapeutic Counseling Services

Organization Professional Counselor · NPI 1609503192

Revive Therapeutic Counseling Services is a Professional Counselor in Waldorf, Maryland. Works from 3 locations. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
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Practice location Address checks out

2255 Crain Hwy Ste 105
Waldorf, MD 20601-3186
Phone: (301) 276-1151
Fax: (301) 923-1329
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 515 E Las Olas Blvd, Ft Lauderdale, FL 33301-2296 — (301) 609-2675
  • 2800 Eisenhower Ave Ste 220, Alexandria, VA 22314-4587 — (301) 609-2675

Specialties & licences

Adult Mental Health Clinic/Center (primary) Taxonomy 261QM0850X
Professional Counselor Taxonomy 101YP2500X

Record details

NPI number1609503192
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationRevive Therapeutic Counseling Services
Authorized official Camille Lewis — Clinical Director · (301) 276-1151
Other names Revive Behavioral Health Solutions; Revive Wellness; Revive Wellness Inc
NPI enumeratedAugust 4, 2022
Last updated in NPPESFebruary 22, 2026
Certification dateFebruary 22, 2026
Mailing address2255 Crain Hwy Ste 105, Waldorf, MD 20601-3186

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