Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Revive Care Services Inc

Organization Mental Health Counselor · NPI 1306700513

Revive Care Services Inc provides Mental Health Counselor services in Minneapolis, Minnesota. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2048 123rd Ln NW
Minneapolis, MN 55448-7087
Phone: (612) 503-9577
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1306700513
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationRevive Care Services Inc
Authorized official Warsame Warsame — Owner · (612) 503-9577
NPI enumeratedDecember 11, 2025
Last updated in NPPESDecember 11, 2025
Certification dateDecember 11, 2025
Mailing address2048 123rd Ln Nw, Minneapolis, MN 55448-7087

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