Organization · Type 2 NPI

Revive Therapeutic Counseling Services

Adult Mental Health Clinic/Center · Waldorf, MD

NPI number 1609503192 Active

Practice location

2255 Crain Hwy Ste 105
Waldorf, MD 20601-3186

Call (301) 276-1151 Map

Fax (301) 923-1329

Other practice locations

515 E Las Olas Blvd, Fort Lauderdale, FL 33301-2296 · (301) 609-2675
2800 Eisenhower Ave Ste 220, Alexandria, VA 22314-4587 · (301) 609-2675

Specialties and licenses

Taxonomy	Code	License
Professional Counselor	101YP2500X	None listed
Adult Mental Health Clinic/Center Primary	261QM0850X	None listed

Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

2 other providers at this address

Other adult mental health clinic/center providers in Waldorf

See all in Waldorf →

NPI record

NPI: 1609503192
Entity type: Organization (Type 2)
Issued: Aug 4, 2022
Last updated: Feb 22, 2026
Status: Active
Subpart: Yes of Revive Therapeutic Counseling Services

Other names

<unavail>
Revive Behavioral Health Solutions · doing business as
Revive Wellness · doing business as
Revive Wellness Inc · doing business as

Authorized official

Camille A Lewis
Clinical Director
(301) 276-1151

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About NPI 1609503192

Revive Therapeutic Counseling Services's National Provider Identifier is 1609503192, issued on Aug 4, 2022. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Waldorf, MD. The record was last updated on Feb 22, 2026.