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

Revive Wellness Counseling Center

Organization Mental Health Counselor · NPI 1962193441

Revive Wellness Counseling Center is a Mental Health Counselor in Los Angeles, California. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1936 Selby Ave Apt 102
Los Angeles, CA 90025-6785
Phone: (310) 709-1612
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1962193441
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joanna Zioni — Owner · (310) 709-1612
NPI enumeratedMay 16, 2023
Last updated in NPPESMay 16, 2023
Certification dateMay 16, 2023
Mailing address1936 Selby Ave Apt 102, Los Angeles, CA 90025-6785

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