Revivd Recovery and Wellness Fort Wayne LLC
NPI 1699617860 · Mental Health Clinic/Center (Including Community Mental Health Center) · Fort Wayne, IN
Revivd Recovery and Wellness Fort Wayne LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Fort Wayne, IN (NPI 1699617860).
Provider details
- NPI number
- 1699617860
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ashley Brown, Ceo(260) 298-8297
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
Under 1 yr in 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
- 2026-04-07
- Last updated
- 2026-04-07
- Certified
- 2026-04-07
Frequently asked questions
- What is Revivd Recovery and Wellness Fort Wayne LLC's NPI number?
- Revivd Recovery and Wellness Fort Wayne LLC's National Provider Identifier (NPI) is 1699617860, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revivd Recovery and Wellness Fort Wayne LLC?
- Revivd Recovery and Wellness Fort Wayne LLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Revivd Recovery and Wellness Fort Wayne LLC located?
- Revivd Recovery and Wellness Fort Wayne LLC's practice location on file with NPPES is 402 E Main St, Fort Wayne, IN 46802-1910.
- What is Revivd Recovery and Wellness Fort Wayne LLC's phone number?
- The practice phone number listed in the NPPES registry for Revivd Recovery and Wellness Fort Wayne LLC is (260) 298-8297.
- Who is the authorized official for Revivd Recovery and Wellness Fort Wayne LLC?
- The authorized official listed on Revivd Recovery and Wellness Fort Wayne LLC's NPPES record is Ashley Brown, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revivd Recovery and Wellness Fort Wayne LLC's NPI active?
- Yes — Revivd Recovery and Wellness Fort Wayne LLC's NPI (1699617860) is active in the NPPES registry as of the last update on 2026-04-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.