REVIVE WELLNESS GROUP LLC NPI 1154977064

NPI Information

  • NPI: 1154977064
  • Provider Name: REVIVE WELLNESS GROUP, LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 2647 NARNIA WAY UNIT 102
    LAND O LAKES, FL
    ZIP 34638
  • Phone: (407) 250-7831

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NPI Details

REVIVE WELLNESS GROUP, LLC is a mental health counselor in Land O Lakes, FL. REVIVE WELLNESS GROUP, LLC NPI is 1154977064. The provider is registered as an organization entity type.

The provider's business location address is:

2647 NARNIA WAY UNIT 102
LAND O LAKES, FL
ZIP 34638-270
Phone: (407) 250-7831

The provider's authorized official is Leighya J Richard .
The authorized official title is Owner/licensed Psychotherapist and has the following contact phone number (407) 250-7831.

The enumeration date for this NPI number is 8/15/2019 and was last updated on 6/5/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0850XClinic/CenterAdult Mental HealthNo
2261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
3101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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