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Revive Wellness Center, LLC

Naturopath in New Haven, CT · enumerated 2006 · authorized official Emmanuel Sergentakis, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1649347360

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Registry record

Entity type Organization (Type 2)
Legal business name Revive Wellness Center, LLC
Other name <Unavail>
Practice address 867 Whalley Ave, New Haven, CT, 06515
Fax (203) 387-8151
Enumeration date Nov 29, 2006
Last updated in NPPES Nov 5, 2018

Taxonomy & classification

171100000X Acupuncturist Other Service Providers · License 205 (CT) Secondary
175F00000X Naturopath Other Service Providers · License 240 (CT) Primary

Authorized official

Name Emmanuel Sergentakis
Title Owner

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Revive Wellness Center, LLC?
The NPI for Revive Wellness Center, LLC is 1649347360, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Revive Wellness Center, LLC?
NPPES lists Emmanuel Sergentakis (Owner) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-11-05.