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REVIVAL THERAPEUTIC SERVICES LLC NPI 1336715622


NPI Information

NPI: 1336715622
Provider Name: REVIVAL THERAPEUTIC SERVICES LLC
Classification: Social Worker - 104100000X
Entity Type: Organization
Address:
2885 LINDALE MOUNT HOLLY RD
AMELIA, OH
ZIP 45102
Phone: (513) 401-4038
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REVIVAL THERAPEUTIC SERVICES LLC is a social worker in Amelia, OH. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. REVIVAL THERAPEUTIC SERVICES LLC NPI is 1336715622. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2885 LINDALE MOUNT HOLLY RD
AMELIA, OH
ZIP 45102-707
Phone: (513) 401-4038

The provider's authorized official is Ryan Hall .
The authorized official title is Owner and has the following contact phone number (513) 401-4038.

The enumeration date for this NPI number is 5/27/2021 and was last updated on 5/27/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1104100000XSocial WorkerYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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