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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

REVIVAL THERAPY, P.C.

Active Organization

REVIVAL THERAPY, P.C. is a Professional Counselor organization located in CRYSTAL LAKE, Illinois. NPI 1376150896 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · CRYSTAL LAKE, IL

Registration Details

NPI Number
1376150896
Provider Type
Organization
NPI Issued
Sep 29, 2020 (5.893941023444 yrs)
Last Updated
Aug 9, 2024

Practice Information

Address
330 W. TERRA COTTA AVE.
SUITE A
CRYSTAL LAKE, IL, 60014
Browse IL providers · Browse ZIP 60014
Phone
8153829691
Fax
8158000670
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Marriage & Family Therapist
Additional Specialty
Professional Counselor

Other Professional Counselor Organizations in CRYSTAL LAKE, IL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.