REVIVE BEHAVIORAL HEALTH LLC NPI 1346937588

NPI Information

  • NPI: 1346937588
  • Provider Name: REVIVE BEHAVIORAL HEALTH, LLC
  • Classification: Counselor - 101Y00000X
  • Entity Type: Organization
  • Address: 510 S BAY DR
    GILBERT, AZ
    ZIP 85233
  • Phone: (913) 904-8565

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NPI Details

REVIVE BEHAVIORAL HEALTH, LLC is a counselor in Gilbert, AZ. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. REVIVE BEHAVIORAL HEALTH, LLC NPI is 1346937588. The provider is registered as an organization entity type.

The provider's business location address is:

510 S BAY DR
GILBERT, AZ
ZIP 85233-539
Phone: (913) 904-8565

The provider's authorized official is Tanja Nicole Mundt .
The authorized official title is Ceo and has the following contact phone number (913) 904-8565.

The enumeration date for this NPI number is 4/19/2023 and was last updated on 7/3/2025.

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
2101Y00000XCounselorYes

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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