Revivepath Recovery

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

REVIVEPATH RECOVERY

Practice address

2920 N 24TH Ave Ste 150
Phoenix, AZ 85015-5959

Phone

(702) 444-9292

NPI assigned

Jul 19, 2025

Organization subpart

No

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

Authorized official

Name

Whaliah Muhammad

Title

Fou

Phone

(702) 444-9292

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1752883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752883200000",
    "number": "1912899204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 N 24TH AVE STE 150",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850155959",
            "telephone_number": "702-444-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 N 24TH AVE STE 150",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850155959",
            "telephone_number": "702-444-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVEPATH RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-19",
        "last_updated": "2025-07-19",
        "certification_date": "2025-07-19",
        "status": "A",
        "authorized_official_last_name": "MUHAMMAD",
        "authorized_official_first_name": "WHALIAH",
        "authorized_official_title_or_position": "FOU",
        "authorized_official_telephone_number": "702-444-9292"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Revilla, RN
• Revive Care LLC
• Revive Health Clinics, PLLC
• Revive Integrated Care Services LLC
• Revive IV Hydration Therapy
• Revolution Health Medical Center
• Revolution Health Medical Center, PC
• Revolution Medical Center, Inc
• Revolution Medical Center, Inc
• Todd Leroy Rex, RPH

• Adult Mental Health Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Adult Mental Health Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.