# REVIVE PSYCHIATRY

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

## Provider details

- **NPI number:** 1811721020
- **Authorized official:** KENDRA POWERS DNP, APRN, PMHNP-BC (OWNER, DNP, APRN, PMHNP-BC)
- **Authorized official phone:** (901) 352-8994

## Contact information

- **Practice address:** 334 ALEXANDER ST, MEMPHIS, TN 38111-4451
- **Practice address phone:** (901) 352-8994
- **Practice address fax:** (440) 291-8182
- **Mailing address:** 1910 MADISON AVE \# 2628, MEMPHIS, TN 38104-2620
- **Mailing address phone:** (901) 352-8994
- **Mailing address fax:** (440) 294-8182

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | — | — | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |

## Other

- **Enumeration date:** 08/29/2024
- **Last updated:** 09/30/2026