Revivamind Behavioral Health Services, LLC.

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

Legal business name

REVIVAMIND BEHAVIORAL HEALTH SERVICES, LLC.

Practice address

10903 Indian Head Hwy
Ste 503
Fort Washington, MD 20744

Phone

(227) 218-7171

NPI assigned

Aug 5, 2026

Last updated

Aug 5, 2026By 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

Veronica Brothers, LMSW, PMHNP-BC, CCM

Title

Owner

Phone

(227) 218-7171

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1785888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1629992540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8507 OXON HILL RD STE 200",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207444774",
            "telephone_number": "227-218-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10903 INDIAN HEAD HWY",
            "address_2": "STE 503",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "20744",
            "telephone_number": "227-218-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVAMIND BEHAVIORAL HEALTH SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-05",
        "last_updated": "2026-08-05",
        "certification_date": "2026-07-10",
        "status": "A",
        "authorized_official_last_name": "BROTHERS",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "227-218-7171",
        "authorized_official_credential": "LMSW, PMHNP-BC, CCM"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.