Organization · Type 2 NPI

Revive Integrated Care, LLC

Mental Health Clinic/Center (Including Community Mental Health Center) · Monroe, LA

NPI number 1629901442 Active

Practice location

398 Hart St
Monroe, LA 71201-7539

Fax (318) 242-8804

Mailing address

181 Morgan Hare Rd
Monroe, LA 71203-8413

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

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About NPI 1629901442

Revive Integrated Care, LLC's National Provider Identifier is 1629901442, issued on Jun 3, 2026. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Monroe, LA. The record was last updated on Oct 30, 2026.