Revive Your Path Network

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

REVIVE YOUR PATH NETWORK

Practice address

9625 David Taylor Dr
Charlotte, NC 28262-2362

Phone

(704) 291-1454

NPI assigned

Sep 23, 2025

Organization subpart

No

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

Authorized official

Name

Chrystal Guinyard

Title

Owner

Phone

(704) 774-7070

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782432000000",
    "number": "1811869464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 TACKLE BOX DR",
            "city": "TROUTMAN",
            "state": "NC",
            "postal_code": "281660140",
            "telephone_number": "704-291-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9625 DAVID TAYLOR DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282622362",
            "telephone_number": "704-291-1454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "169 Tackle Box Dr",
            "address_purpose": "LOCATION",
            "city": "Troutman",
            "state": "NC",
            "postal_code": "281660140",
            "country_code": "US",
            "telephone_number": "704-291-1454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REVIVE YOUR PATH NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-23",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A",
        "authorized_official_last_name": "GUINYARD",
        "authorized_official_first_name": "CHRYSTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-774-7070"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheley Rene' Revis, MD
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• Revival Physical Therapy, LLC
• Revolution Access LLC
• Rew Works Counseling Services, LLC
• Marsha R Rexford, CRNA
• Reyboze LLC
• Keren Reyes

• Mental Illness Community Based Residential Treatment Facility in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Illness Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.