# REVIVE INK STUDIO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306758586
- **Authorized official:** MS. ERIKA LYNN JOHN (OWNER)
- **Authorized official phone:** (904) 907-0143

## Contact information

- **Practice address:** 12205 COUNTY LINE RD STE F, MADISON, AL 35758-7720
- **Practice address phone:** (256) 400-0771
- **Mailing address:** 209 WILSON HALL DR, MADISON, AL 35757-8701
- **Mailing address phone:** (256) 400-0771

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246Z00000X | Other Specialist/Technologist | — | NULL | Yes |
| 246Z00000X | Other Specialist/Technologist | — | — | Yes |

## Other

- **Enumeration date:** 09/21/2026
- **Last updated:** 09/21/2026