P Praxis·MD
● Active Type 2 · Organization

Revive Healing & Wellness Institute, Llc.

Counselor·Atlanta, GA· NPI 1699342832 · Enumerated 2021 · 4 years on NPI
Revive Healing & Wellness Institute, Llc. is 1 of 5527 counselor organizations in Georgia.
NPI age
4 years
Enumerated 2021-06-07
Primary specialty
Counselor
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bauman
Partner
Last NPPES update
2021-06-07
Source: monthly bulk 2026-05

How this organization compares

Across 5527 active counselor providers in Georgia.

NPI age
4 years
≈ at median (5 yr)
Practice locations
1
0 secondary on file
Subspecialties
2
In the 16% of peers with subspecialties

NPI lifetime · 2021 → 2026

2021-06Enumerated in NPPES
2021 2026

Where they practice

Primary practice location
970 Sidney Marcus Blvd Ne Unit 1412
Atlanta, GA 303243160
📞 4045009494
Mailing address
970 Sidney Marcus Blvd Ne Unit 1412
Atlanta, GA 303243160
📞 4045009494

Authorized official

Melissa Bauman, LMFT
Partner
📞 5099858788

Specialties

  • Counselor Primary
    Definition to come...
    taxonomy 101YM0800X
  • Counselor
    Definition to come...
    taxonomy 101YP2500X
  • Marriage & Family Therapist
    A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family...
    taxonomy 106H00000X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Revive Healing & Wellness Institute, LLC.
    Type code 3 recorded 2021-06-07

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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