Revive Wellness Group, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

REVIVE WELLNESS GROUP, LLC

Practice address

2647 Narnia Way Unit 102
Land O Lakes, FL 34638-7270

Phone

(407) 250-7831

NPI assigned

Aug 15, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Leighya J Richard, LMHCNPI 1962640375

Title

Owner/Licensed Psychotherapist

Phone

(407) 250-7831

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leighya J Richard, LMHC

  • Professional Counselor
  • Land O Lakes, FL
  • NPI 1962640375
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1154977064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2647 NARNIA WAY UNIT 102",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346387270",
            "telephone_number": "407-250-7831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2647 NARNIA WAY UNIT 102",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346387270",
            "telephone_number": "407-250-7831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE WELLNESS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-15",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "RICHARD",
        "authorized_official_first_name": "LEIGHYA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/LICENSED PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "407-250-7831",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Melissa E Rentas, LMHC
• Elianna Reynolds, PA-C
• Leighya J Richard, LMHC
• Jennifer Anne Richardson, PSY.D.
• Sherri Ricottone, ARNP
• Hege Riise, PH.D., LP

• Mental Health Counselor in Land O Lakes, FL
• Providers in Land O Lakes, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.