Revive Recovery Center LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

REVIVE RECOVERY CENTER LLC

Practice address

2654 S Vincent
Mesa, AZ 85209-2486

Phone

(480) 470-6042

NPI assigned

Oct 9, 2025

Organization subpart

No

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

Authorized official

Name

Brayden Younghusband

Title

Ceo

Phone

(480) 470-6042

Specialties & licenses 1

Addresses

Tax ID family

Revive Recovery Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Revive Recovery Center LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Mesa, AZ
  • NPI 1851007272
  NPD tax ID

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

{
    "created_epoch": "1759968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1902771777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 W JUANITA AVE STE 110",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106114",
            "telephone_number": "480-470-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2654 S VINCENT",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852092486",
            "telephone_number": "480-470-6042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE RECOVERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-09",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "YOUNGHUSBAND",
        "authorized_official_first_name": "BRAYDEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-470-6042"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Reveles
• Beth Aron Revell
• Revitalize Pain and Spine LLC
• Revival Psychiatry and Ketamine Clinic
• Revive Recovery Center LLC
• Revive Therapies LLC
• Jenessa Reyes Colocado
• April A Reyes
• Maria Theresa Reyes, MD
• Marisol Reyes, LDO

• Substance Abuse Rehabilitation Facility in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Substance Abuse Rehabilitation Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.