Revival Therapy & Consulting, LLC
NPI #1346051505 in Apple Creek, Ohio
Provider Information
- NPI Number
- 1346051505
- Entity Type
- Organization
- Organization Name
- Revival Therapy & Consulting, LLC
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Jan 16, 2025
- Last Updated
- Jan 16, 2025
Practice Location
- Address
- 5034 KIDRON RD STE 21
- City
- Apple Creek
- State
- Ohio
- ZIP Code
- 44606-9746
- Phone
- (330) 429-2157
Authorized Official
- Name
- JESSICA SKYE ORR, LISW-S
- Title
- OWNER/THERAPIST
- Phone
- (330) 749-8633
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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