OrganizationActive
Revive Wellco
NPI 1851070882 · Mental Health Counselor · Clarksville, TN
Provider details
- NPI number
- 1851070882
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jennifer Schalow, Ceo(501) 318-3760
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(63/100 index)
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
2 documented practice locations
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
518 Latham Ct.
Clarksville, TN 37043
Phone: (501) 318-3760
Street-level locationGet directions
Mailing address
919 Tiny Town Rd
Clarksville, TN 37042-7660
Additional practice locations (1)
- 110 N Royal St Ste 301Alexandria, VA 22314-3271Phone: (501) 318-3760
Registry dates
- Enumerated
- 2023-07-17
- Last updated
- 2024-10-18
- Certified
- 2024-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.