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

Revive Wellness, LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1205583630

Revive Wellness, LLC is a Psychiatric/Mental Health Nurse Practitioner in Mamou, Louisiana. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

704 Poinciana Ave
Mamou, LA 70554-2224
Phone: (337) 468-4038
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1205583630
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rachel Taylor — Owner/Manager · (985) 351-1673
NPI enumeratedMarch 5, 2022
Last updated in NPPESMarch 5, 2022
Certification dateMarch 5, 2022
Mailing addressPo Box 821, Carencro, LA 70520-0821

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