Organization Active NPI

Revive Within Therapy Services LLC

  • Clinical Social Worker
  • Midland, MI
National Provider Identifier
1508712811
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
REVIVE WITHIN THERAPY SERVICES LLC
Practice address
4604 N Saginaw Rd Ste N6
Midland, MI 48640-2387
Phone
(810) 221-1384
NPI assigned
Mar 9, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Authorized official

Name
Samantha Huebler-Davis, LMSW, CAADC, ADSNPI 1093192221
Title
Owner/Outpatient Therapist
Phone
(248) 921-6111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4604 N Saginaw Rd Ste N6
Midland, MI 48640-2387

Mailing address

6310 Paddock LN
Saginaw, MI 48603-2735
Phone (810) 221-1384

National Provider Directory

National Provider Directory

Locations

4604 N Saginaw Rd
Ste N6
Midland, MI 48640
Phone (810) 221-1384

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1773014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1508712811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6310 PADDOCK LN",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032735",
            "telephone_number": "810-221-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4604 N SAGINAW RD STE N6",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402387",
            "telephone_number": "810-221-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE WITHIN THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-09",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A",
        "authorized_official_last_name": "HUEBLER-DAVIS",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER/OUTPATIENT THERAPIST",
        "authorized_official_telephone_number": "248-921-6111",
        "authorized_official_credential": "LMSW, CAADC, ADS"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.