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

Revive Wellness & Co

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1194502070

Revive Wellness & Co is a Mental Health Clinic/Center (Including Community Mental Health Center) in Grand Prairie, Texas. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

5335 Nueces Ln
Grand Prairie, TX 75052-2667
Phone: (972) 802-4892
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 number1194502070
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samitriya Moore — Founder · (972) 802-4892
NPI enumeratedSeptember 13, 2023
Last updated in NPPESSeptember 13, 2023
Certification dateSeptember 13, 2023
Mailing address5335 Nueces Ln, Grand Prairie, TX 75052-2667

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