Revival Collaborative LLC
NPI 1407515620 · Mental Health Counselor · Bentonville, AR
Revival Collaborative LLC is a Mental Health Counselor organization in Bentonville, AR (NPI 1407515620).
Provider details
- NPI number
- 1407515620
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Zach Hedges, Owner(479) 721-2110
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
- 2021-12-15
- Last updated
- 2021-12-15
- Certified
- 2021-12-15
Frequently asked questions
- What is Revival Collaborative LLC's NPI number?
- Revival Collaborative LLC's National Provider Identifier (NPI) is 1407515620, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revival Collaborative LLC?
- Revival Collaborative LLC is classified in the NPPES registry as Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Revival Collaborative LLC located?
- Revival Collaborative LLC's practice location on file with NPPES is 3700 Medical Center Pkwy, Bentonville, AR 72712-3222.
- What is Revival Collaborative LLC's phone number?
- The practice phone number listed in the NPPES registry for Revival Collaborative LLC is (479) 721-2110.
- Who is the authorized official for Revival Collaborative LLC?
- The authorized official listed on Revival Collaborative LLC's NPPES record is Zach Hedges, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revival Collaborative LLC's NPI active?
- Yes — Revival Collaborative LLC's NPI (1407515620) is active in the NPPES registry as of the last update on 2021-12-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.