Revive Behavioral Health, Llc

LBN: Revive Behavioral Health, Llc
Revive Behavioral Health, Llc is an health care organization with primary practice located at 510 S Bay Dr , Gilbert AZ 85233-6539. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Ambulatory Health Care Facilities / Adult Mental Health. Behavioral Health & Social Service Providers / Counselor is the primary health care specialty. Revive Behavioral Health, Llc can be contacted via phone (913) 904-8565, or through Mundt, Tanja Nicole via phone (913) 904-8565.

Contact Information

Primary practice address
510 S Bay Dr Gilbert AZ 85233-6539
Phone: (913) 904-8565
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mundt, Tanja Nicole LPC-S
Phone: (913) 904-8565

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1346937588
LBN Legal business name Revive Behavioral Health, Llc
DBA Doing business as
Authorized official Mundt, Tanja Nicole LPC-S
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2023
Last updated Jul 3rd, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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