Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Revival Wellness Group LLC

Organization Clinical Social Worker · NPI 1942117155

Revival Wellness Group LLC provides Clinical Social Worker services in Indianapolis, Indiana. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11216 Fall Creek Rd Ste 102
Indianapolis, IN 46256-9406
Phone: (814) 282-5489
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1942117155
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kaylee Durnell — Owner · (814) 282-5489
NPI enumeratedAugust 25, 2026
Last updated in NPPESSeptember 3, 2026
Certification dateSeptember 3, 2026
Mailing address7264 S Woodrow Dr, Pendleton, IN 46064-9102

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