OrganizationActive
Revive Wellness
NPI 1912443094 · Community/Behavioral Health Agency · Conshohocken, PA
Revive Wellness is a Community/Behavioral Health Agency organization in Conshohocken, PA (NPI 1912443094).
Provider details
- NPI number
- 1912443094
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Leiza Stanley, Owner(640) 457-8542
- License
- CW016642 (PA)
Specialties & taxonomies
Agencies
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
119 Harry St
First Floor
Conshohocken, PA 19428
Phone: (610) 457-8542
Street-level locationGet directions
Mailing address
119 Harry Street
Conshohocken, PA 19428
Registry dates
- Enumerated
- 2017-01-12
- Last updated
- 2017-05-04
Frequently asked questions
- What is Revive Wellness's NPI number?
- Revive Wellness's National Provider Identifier (NPI) is 1912443094, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive Wellness?
- Revive Wellness is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Revive Wellness located?
- Revive Wellness's practice location on file with NPPES is 119 Harry St, Conshohocken, PA 19428.
- What is Revive Wellness's phone number?
- The practice phone number listed in the NPPES registry for Revive Wellness is (610) 457-8542.
- Who is the authorized official for Revive Wellness?
- The authorized official listed on Revive Wellness's NPPES record is Leiza Stanley, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive Wellness's NPI active?
- Yes — Revive Wellness's NPI (1912443094) is active in the NPPES registry as of the last update on 2017-05-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.