REVIVAL COLLABORATIVE LLC is a mental health counselor in Bentonville, AR. REVIVAL COLLABORATIVE LLC NPI is 1407515620. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
3700 MEDICAL CENTER PKWY BENTONVILLE, AR ZIP 72712-222 Phone: (479) 721-2110
The provider's authorized official is Zach S Hedges . The authorized official title is Owner and has the following contact phone number (479) 721-2110.
The enumeration date for this NPI number is 12/15/2021 and was last updated on 12/15/2021.
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:
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
NPI Synchronization or Removal
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