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

Revive Wellness Center

Organization Health Service Clinic/Center · NPI 1417827965

Revive Wellness Center is a Health Service Clinic/Center in Ashland, Virginia. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

12306 Quail Oak Ct
Ashland, VA 23005-7871
Phone: (804) 852-2847
Fax: (434) 217-1647
Show map & directions

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

Specialties & licences

Health Service Clinic/Center (primary) Taxonomy 261QH0100X

Record details

NPI number1417827965
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bessem Adeso — Director · (804) 852-2847
NPI enumeratedNovember 10, 2025
Last updated in NPPESNovember 10, 2025
Certification dateNovember 10, 2025
Mailing address12306 Quail Oak Ct, Ashland, VA 23005-7871