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

Revive Wellness

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1639885171

Revive Wellness is a Mental Health Clinic/Center (Including Community Mental Health Center) in Crookston, Minnesota. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

116 W Robert St Ste 2B
Crookston, MN 56716-1709
Phone: (218) 289-7023
Show map & directions

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

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1639885171
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Shockman — Mental Health Professional · (218) 289-7023
Other names Jessica Shockman
NPI enumeratedJanuary 27, 2023
Last updated in NPPESJanuary 27, 2023
Certification dateJanuary 27, 2023
Mailing address116 W Robert St Ste 2b, Crookston, MN 56716-1709

Other providers in Crookston