Revive Wellness & Co
NPI 1194502070 · Mental Health Clinic/Center (Including Community Mental Health Center) · Grand Prairie, TX
Revive Wellness & Co is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Grand Prairie, TX (NPI 1194502070).
Provider details
- NPI number
- 1194502070
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Samitriya Moore, Founder(972) 802-4892
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-09-13
- Last updated
- 2023-09-13
- Certified
- 2023-09-13
Frequently asked questions
- What is Revive Wellness & Co's NPI number?
- Revive Wellness & Co's National Provider Identifier (NPI) is 1194502070, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive Wellness & Co?
- Revive Wellness & Co is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Revive Wellness & Co located?
- Revive Wellness & Co's practice location on file with NPPES is 5335 Nueces Ln, Grand Prairie, TX 75052-2667.
- What is Revive Wellness & Co's phone number?
- The practice phone number listed in the NPPES registry for Revive Wellness & Co is (972) 802-4892.
- Who is the authorized official for Revive Wellness & Co?
- The authorized official listed on Revive Wellness & Co's NPPES record is Samitriya Moore, Founder. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive Wellness & Co's NPI active?
- Yes — Revive Wellness & Co's NPI (1194502070) is active in the NPPES registry as of the last update on 2023-09-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.