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

Robert Revell, CPSS

Individual provider Peer Specialist · NPI 1073077418

Robert Revell, CPSS is a Peer Specialist in Gulfport, Mississippi. Licensed in Mississippi. Registered with an NPI since 2019.

Licensed in
MS
In the registry since
2019

Practice location Address checks out

1600 Broad Ave
Gulfport, MS 39501-3603
Phone: (228) 865-1719
Fax: (228) 865-1780
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 390 (MS)

Record details

NPI number1073077418
Entity typeIndividual (Type 1)
GenderMale
Credentials CPSS
Sole proprietorNo
NPI enumeratedJanuary 30, 2019
Last updated in NPPESJuly 12, 2019
Mailing address1600 Broad Ave, Gulfport, MS 39501-3603

Other providers in Gulfport