Revive Therapy LLC

NPI #1497437800 in Troy, Ohio

Provider Information

NPI Number: 1497437800
Entity Type: Organization
Organization Name: Revive Therapy LLC
Primary Specialty: Counselor - Professional
Enumeration Date: Aug 4, 2023
Last Updated: Aug 4, 2023

Practice Location

Address: 405 PUBLIC SQ STE 350
City: Troy
State: Ohio
ZIP Code: 45373-5200
Phone: (937) 980-3252

Authorized Official

Name: MICHELLE CEYLER, LPCC-S, LICDC-CS
Title: OWNER/THERAPIST
Phone: (937) 216-3904

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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