Revival Therapeutic Services LLC

NPI #1336715622 in Amelia, Ohio

Provider Information

NPI Number: 1336715622
Entity Type: Organization
Organization Name: Revival Therapeutic Services LLC
Primary Specialty: Social Worker
Enumeration Date: May 27, 2021
Last Updated: May 27, 2021

Practice Location

Address: 2885 LINDALE MOUNT HOLLY RD
City: Amelia
State: Ohio
ZIP Code: 45102-9707
Phone: (513) 401-4038

Authorized Official

Name: RYAN HALL, LISW
Title: OWNER
Phone: (513) 401-4038

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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