# REVIVE MENTAL WELLNESS LLC

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

## Provider details

- **NPI number:** 1326756347
- **Authorized official:** JYNNAH L SCHWARTZWOLF PMHNP (MANAGER)
- **Authorized official phone:** (208) 922-8298

## Contact information

- **Practice address:** 200 N 23RD ST STE 106, BOISE, ID 83702-4969
- **Practice address phone:** (208) 398-3351
- **Mailing address:** 1200 N MAIN ST UNIT 1623, MERIDIAN, ID 83680-5065
- **Mailing address phone:** (208) 398-3351

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/08/2022
- **Last updated:** 11/18/2025