Revive Therapy and Wellness LLC

NPI #1780446476 in Belvidere, Illinois

Provider Information

NPI Number
1780446476
Entity Type
Organization
Organization Name
Revive Therapy and Wellness LLC
Primary Specialty
Social Worker - Clinical
Enumeration Date
Jan 29, 2024
Last Updated
Jan 9, 2025

Practice Location

Address
1818 LOGAN AVE
ZIP Code
61008-6412
Phone
(815) 575-9887

Authorized Official

Name
SHELLI L POLLARD, LCSW
Title
OWNER
Phone
(815) 575-9887

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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