Reviving Therapy & Consulting LLC
NPI #1053119446 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1053119446
- Entity Type
- Organization
- Organization Name
- Reviving Therapy & Consulting LLC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Mar 3, 2025
- Last Updated
- Mar 3, 2025
Practice Location
- Address
- 2136 FORD PKWY
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55116-2850
- Phone
- (605) 350-5232
Authorized Official
- Name
- EMMANUEL NWALA, PHD, LPCC
- Title
- LICENSED PROFESSIONAL CLINICAL COUN
- Phone
- (605) 350-5232
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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