Active NPI
Revelare Recovery LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Atlanta, GA
National Provider Identifier
1629853189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- REVELARE RECOVERY LLC
- Practice address
- 750 Glenwood Ave SE BLDG 200
Ste 210
Atlanta, GA 30316-2195 - Phone
- (888) 341-0244
- NPI assigned
- Aug 31, 2023
- Last updated
- Aug 4, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Arianna Paige Carbino
- Title
- Executive Director
- Phone
- (404) 905-7786
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | Primary |
Addresses
Primary practice location
750 Glenwood Ave SE BLDG 200
Ste 210
Atlanta, GA 30316-2195
Mailing address
750 Glenwood Ave SE BLDG 200
Ste 210
Atlanta, GA 30316-2195
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2291771 | Revelare Recovery, LLC | Certificate of waiver | Oct 15, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Atlanta, GA
- NPI 1043052541
-
- Psychiatry Physician
- Hendersonville, NC
- NPI 1104854686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785801600000",
"number": "1629853189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 GLENWOOD AVE SE BLDG 200",
"address_2": "STE 210",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303162195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 GLENWOOD AVE SE BLDG 200",
"address_2": "STE 210",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303162195",
"telephone_number": "888-341-0244"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REVELARE RECOVERY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-31",
"last_updated": "2026-08-04",
"certification_date": "2026-08-04",
"status": "A",
"authorized_official_last_name": "CARBINO",
"authorized_official_first_name": "ARIANNA",
"authorized_official_middle_name": "PAIGE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "404-905-7786"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.