Organization Active NPI

Revelare Recovery LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Atlanta, GA
National Provider Identifier
1629853189
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2291771Revelare Recovery, LLC750 Glenwood Avenue, SE, BLDG 200, Suite 210, Atlanta, GA 30316Certificate of waiverOct 15, 2027

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.