OrganizationActive
Revive Behavioral Health
NPI 1942055504 · Behavioral Neurology & Neuropsychiatry Physician · Petersburg, VA
Provider details
- NPI number
- 1942055504
- Entity type
- Organization
- Primary specialty
- Behavioral Neurology & Neuropsychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Hailey Mazzei, Owner(804) 490-3226
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
416 3rd St Ste D
Petersburg, VA 23803-3300
Phone: (804) 653-7009
Fax: (804) 773-4688
Approximate (ZIP-level) locationGet directions
Mailing address
416 3rd St Ste D
Petersburg, VA 23803-3300
Other names (DBA / former)
- Doing business as
- Revive Behavioral Health
- Doing business as
- Revive Behavioral Health
Registry dates
- Enumerated
- 2024-04-18
- Last updated
- 2025-09-13
- Certified
- 2025-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.