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

Revive Wellco

Organization Mental Health Counselor · NPI 1851070882

Revive Wellco is a Mental Health Counselor in Clarksville, Tennessee. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

518 Latham Ct
Clarksville, TN 37043
Phone: (501) 318-3760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 110 N Royal St Ste 301, Alexandria, VA 22314-3271 — (501) 318-3760

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1851070882
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Schalow — Ceo · (501) 318-3760
NPI enumeratedJuly 17, 2023
Last updated in NPPESOctober 18, 2024
Certification dateOctober 8, 2024
Mailing address919 Tiny Town Rd, Suite B #2021, Clarksville, TN 37042-7660

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