Revive Clinic LLC · Psychiatric/Mental Health Clinical Nurse Specialist

5457 Twin Knolls Rd Ste 300, Columbia, MD 21045-3296

Overview

Revive Clinic LLC is a Psychiatric/Mental Health Clinical Nurse Specialist (organization) practicing in Columbia, Maryland. The National Provider Identifier (NPI) is #1003797176, which was assigned on September 8, 2025, and the registration record was last updated on March 18, 2026. The practitioner's main practice location is at 10101 Twin Rivers Rd Apt 401, Columbia, MD 21044-6539; the contact telephone number is 2407440540, and the fax number is 2692102598. The primary taxonomy of Revive Clinic LLC is Psychiatric/Mental Health Clinical Nurse Specialist (364SP0808X), with specialization in Psychiatric/Mental Health. The authorized official for Revive Clinic LLC is Denisha Cuffee (Owner/Provider).

Provider Information

NPI 1003797176
Entity Type Organization
Organization Name REVIVE CLINIC LLC
Provider Name REVIVE CLINIC LLC
Practice Address 10101 Twin Rivers Rd Apt 401
Columbia
MD 21044-6539
Practice Telephone 2407440540
Practice Fax Number 2692102598
Mailing Address 5457 Twin Knolls Rd Ste 300
Columbia
MD 21045-3296
Mailing Telephone 2407440540
Mailing Fax Number 2692102598
Certification Date 2026-03-18
Enumeration Date 2025-09-08
Last Update Date 2026-03-18
Is Organization Subpart N

Authorized Official Information

Official Name DENISHA CUFFEE
Official Title OWNER/PROVIDER
Credential NP
Telephone 2407440540

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y364SP0808XClinical Nurse SpecialistPsychiatric/Mental Health193400000X SINGLE SPECIALTY GROUP

Providers with the same name

Provider NameAddressTaxonomyEnumeration Date
Revive Clinic LLC 211 N Union St Ste 100, Alexandria, VA 22314-2643Psychiatric/Mental Health Clinical Nurse Specialist2026-02-27
Revive Clinic LLC 20 F St Nw Fl 7, Washington, DC 20001-6700Psychiatric/Mental Health Clinical Nurse Specialist2025-10-28

Taxonomy Information

Primary Taxonomy

Code 364SP0808X
Taxonomy Psychiatric/Mental Health Clinical Nurse Specialist
Classification Clinical Nurse Specialist
Specialization Psychiatric/Mental Health
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: Definition to come...

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Prestige Wellness Center Inc 7416 5th Ave S, Richfield, MN 55423-4333Psychiatric/Mental Health Clinical Nurse Specialist2025-12-29
Oluwatoyin Awosika 767 Cheyenne Ct, Elgin, IL 60123-2559Psychiatric/Mental Health Clinical Nurse Specialist2026-03-13
Angela Parker Murray 1438 Royal Palm Dr, Slidell, LA 70458-6208Psychiatric/Mental Health Clinical Nurse Specialist2026-03-16
Heidi L Reed 6345 Olde Atlanta Pkwy, Suwanee, GA 30024-4210Psychiatric/Mental Health Clinical Nurse Specialist2025-12-31
Egim Uche 404 Holly Hill Ct, Warwick, PA 18974-3821Psychiatric/Mental Health Clinical Nurse Specialist2026-01-31
Kinetic Psychiatry 235 N Westmonte Dr Ste 105, Altamonte Springs, FL 32714-3345Psychiatric/Mental Health Clinical Nurse Specialist2026-03-17
Serah Wangu Mayodi 6150 Eldorado Pkwy Ste 190, Mckinney, TX 75070-5722Psychiatric/Mental Health Clinical Nurse Specialist2026-02-02
Psychiatry and Wellness of Georgia, LLC 4900 Ivey Rd Nw Ste 1128, Acworth, GA 30101-4001Psychiatric/Mental Health Clinical Nurse Specialist2025-12-23
Renewed Horizons Psychiatry Services PLLC 904 Royal Oaks Dr, Mckinney, TX 75072-8350Psychiatric/Mental Health Clinical Nurse Specialist2026-02-14
Betsy Scafidel 47081 Vineyard Trce, Hammond, LA 70401-4084Psychiatric/Mental Health Clinical Nurse Specialist2026-04-10
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Location Information

Street Address 5457 TWIN KNOLLS RD STE 300
City COLUMBIA
State MD
Zip Code 21045-3296
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Laurette Etaka Abunaw 5457 Twin Knolls Rd Ste 300, Columbia, MD 21045-3296Psychiatric/Mental Health Nurse Practitioner2020-12-24
Synergy Revitalize Medical Center, LLC 5457 Twin Knolls Rd Ste 300-S6, Columbia, MD 21045-3259Primary Care Nurse Practitioner2022-04-29
Baby and Me Lactation Services 5457 Twin Knolls Rd Ste 300n-16, Columbia, MD 21045-3259Lactation Consultant (Non-RN)2025-10-29
Mariel Ajiboye Akinboye 5457 Twin Knolls Rd Ste 300, Columbia, MD 21045-3296Psychiatric/Mental Health Nurse Practitioner2026-02-18
Starsha Sewell 5457 Twin Knolls Rd Ste 300, Columbia, MD 21045-3296Prosthetic/Orthotic Supplier2025-11-22
Brandy N Compton 5457 Twin Knolls Rd Ste 300, Columbia, MD 21045-3296Family Nurse Practitioner2025-08-16
Perfect Aide Support Services LLC 5457 Twin Knolls Rd Ste 300-1161, Columbia, MD 21045-3259In Home Supportive Care Agency2026-03-19
Telemed Weight Loss & Diabetes Management, LLC 5457 Twin Knolls Rd Ste 300 #1123, Columbia, MD 21045-3296Health Service Clinic/Center2026-03-09
Lanre Padonu 5457 Twin Knolls Rd Ste 300, Columbia, MD 21045-3296Psychiatric/Mental Health Nurse Practitioner2025-04-08
Antoinette Nicole Goosby 5457 Twin Knolls Rd Ste 300, Columbia, MD 21045-3296Psychiatric/Mental Health Nurse Practitioner2025-12-05
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Raealyne S Olarte 5850 Waterloo Rd Ste 230, Columbia, MD 21045-1943Clinical Social Worker2020-10-07
Stay At Home Nursing and Companion Services 5850 Waterloo Rd Ste 140, Columbia, MD 21045-1944Home Health Agency2025-10-29
Emily Manuel 9256 Bendix Rd Ste 102, Columbia, MD 21045-1843Behavior Technician2025-01-16
Therese B Garroway 7120 Minstrel Way, Suite 203, Columbia, MD 21045Mental Health Counselor2006-10-10
Goldland Synergy Inc 5850 Waterloo Rd Ste 140, Columbia, MD 21045-1944Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility2025-10-04
Katie Schluederberg 9256 Bendix Rd Ste 200a, Columbia, MD 21045-1848Physician Assistant2026-02-06
Leonor I Lara · Leonor Isabel Lara 5850 Waterloo Rd Ste 230, Columbia, MD 21045-1943Mental Health Counselor2020-10-13
Nadine Davis 5850 Waterloo Rd Ste 230, Columbia, MD 21045-1943Psychiatric/Mental Health Nurse Practitioner2024-03-14
Claire L Charles 5457 Twin Knolls Road, Suite 300 - #1123, Columbia, MD 21045Family Nurse Practitioner2018-09-28
Bright Counseling, Incorporated 7120 Minstrel Way, Suite 203, Columbia, MD 21045Counselor2006-10-10
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.