REVIVAL THERAPY SERVICES LLC NPI 1457008591

NPI Information

NPI: 1457008591
Provider Name: REVIVAL THERAPY SERVICES LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
2021 W COLORADO AVE
COLORADO SPRINGS, CO
ZIP 80904
Phone: (720) 441-4622
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REVIVAL THERAPY SERVICES LLC is a professional counselor in Colorado Springs, CO. REVIVAL THERAPY SERVICES LLC NPI is 1457008591. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2021 W COLORADO AVE
COLORADO SPRINGS, CO
ZIP 80904-840
Phone: (720) 441-4622

The provider's authorized official is Sacha Lacasse .
The authorized official title is Member and has the following contact phone number (720) 441-4622.

The enumeration date for this NPI number is 3/8/2022 and was last updated on 3/8/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional			Yes

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

NPI Synchronization or Removal

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