Reviive Therapy Services, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

REVIIVE THERAPY SERVICES, PLLC

Practice address

1201 N Watson Rd Ste 201
Arlington, TX 76006-6120

Phone

(469) 558-0443

Fax

(817) 987-1288

NPI assigned

Sep 8, 2023

Last updated

Sep 8, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ebonii NelsonNPI 1861956633

Title

Owner

Phone

(469) 939-6827

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ebonii Nelson

  • Professional Counselor
  • Arlington, TX
  • NPI 1861956633
  NPD Authorized official
• Morgan Perkins

  • Clinical Social Worker
  • Arlington, TX
  • NPI 1518680859
  NPD
• Danielle Sanders, LPC

  • Professional Counselor
  • Dallas, TX
  • NPI 1710766134
  NPD

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1437935061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 RACQUET CLUB CT",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760173724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N WATSON RD STE 201",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760066120",
            "telephone_number": "469-558-0443",
            "fax_number": "817-987-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIIVE THERAPY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "EBONII",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-939-6827"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ressien LLC (Destiny In-Home Care)
• Restoring Minds Behavioral Services LLC
• Restoring Serenity Counseling Center, PLLC
• Reunion Rehabilitation Hospital Arlington, LLC (Arlington Regional Rehabilitation Hospital)
• Revco Healthcare Pharmacy
• Mareli Reyes Medina
• Nicole Reyes Ramirez, MD
• Hernan Reyes, M.D.
• Carlos Nicholas Reyna, MT
• Kathie Lee Reyna

• Professional Counselor in Arlington, TX
• Providers in Arlington, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.