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

Revivepath Recovery

Organization Adult Mental Health Clinic/Center · NPI 1912899204

Revivepath Recovery is an Adult Mental Health Clinic/Center in Phoenix, Arizona. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

2920 N 24th Ave Ste 150
Phoenix, AZ 85015-5959
Phone: (702) 444-9292
Show map & directions

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

Specialties & licences

Adult Mental Health Clinic/Center (primary) Taxonomy 261QM0850X

Record details

NPI number1912899204
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Whaliah Muhammad — Fou · (702) 444-9292
NPI enumeratedJuly 19, 2025
Last updated in NPPESJuly 19, 2025
Certification dateJuly 19, 2025
Mailing address2920 N 24th Ave Ste 150, Phoenix, AZ 85015-5959

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